Organization
NUESTRO NUTRITION
Active
Organization
NUESTRO NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC ANZALDUA RD, LD (OWNER)
(956) 256-3518
Entity
Organization
Contact information
Practice address
10 CARDENAS RD, RIO GRANDE CITY, TX 78582-6910
(956) 256-3518
Mailing address
10 CARDENAS RD, RIO GRANDE CITY, TX 78582-6910
(956) 256-3518
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11114559291
NPI
TX
Enumeration date
07/21/2020
Last updated
08/20/2021
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