Individual
JESSICA LAUREN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
646 S FLORES ST, SAN ANTONIO, TX 78204-1219
(855) 803-9355
Mailing address
646 S FLORES ST, SAN ANTONIO, TX 78204-1219
(855) 039-3558
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT84646
TX
Other
Enumeration date
07/19/2021
Last updated
04/25/2022
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