Individual
MISS AZENETH BERNAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
6210 N 41ST ST, MCALLEN, TX 78504-5417
(956) 212-2566
Mailing address
6210 N 41ST ST, MCALLEN, TX 78504-5417
(956) 212-2566
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80774
TX
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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