Individual
LESLIE GOUDARZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, CNSC
Contact information
Practice address
5800 AIRPORT BLVD, AUSTIN, TX 78752-4204
(512) 978-8470
Mailing address
1111 E CESAR CHAVEZ ST, AUSTIN, TX 78702-4209
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT04733
TX
Other
Enumeration date
04/19/2022
Last updated
09/24/2024
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