Individual
AMANDA VILLARREAL SAENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2215 CORNERSTONE BLVD, EDINBURG, TX 78539-8472
(956) 668-1203
(956) 668-1462
Mailing address
2215 CORNERSTONE BLVD, EDINBURG, TX 78539-8472
(956) 668-1203
(956) 668-1462
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
933303
TX
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
933303
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
933303
COMMISSION ON DIETETIC REGISTRATION
TX
01
—
DT06559
TEXAS STATE BOARD OF EXAMINERS OF DIETITIANS
TX
Enumeration date
11/17/2010
Last updated
11/22/2010
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