Individual
MS. RENE NANETTE JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA, RD, LD
Contact information
Practice address
5788 ECKHERT RD, FRANK TEJEDA VA CLINIC, SAN ANTONIO, TX 78240-3900
(210) 699-2236
Mailing address
9290 RIDGE PATH, SAN ANTONIO, TX 78250-3811
(210) 680-2424
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT05452
TX
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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