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Individual

MICHELLE JERMIE STEPHEN SALAZAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED DIETITIAN

Contact information

Practice address
131 FM 3168, RAYMONDVILLE, TX 78580-3605
(956) 689-2196
Mailing address
1706 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8911
(956) 365-6750

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1017239
PROFESSIONAL LICENSE
TX
Enumeration date
12/14/2012
Last updated
12/14/2012
About Stedi
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  • EDI platform