Individual
ELIZABETH THERESE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
507 WILLOW RD, HALLSVILLE, TX 75650-6143
(903) 806-8519
Mailing address
507 WILLOW RD, HALLSVILLE, TX 75650-6143
(903) 806-8519
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT83278
TX
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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