Individual
ELVIRA RASTODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
202 OAK ST #321, EARLY, TX 76802
(512) 387-4031
Mailing address
1101 W 34TH ST # 596, AUSTIN, TX 78705-1907
(512) 387-4031
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86146531
TX
Other
Enumeration date
11/12/2019
Last updated
03/04/2021
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