Individual
CHASLEY TESS FORTUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
9618 HUEBNER RD, SAN ANTONIO, TX 78240-1660
(210) 634-2200
(210) 634-2201
Mailing address
9734 ALISA BROOKE, SAN ANTONIO, TX 78254-6100
(210) 838-0420
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86174251
TX
Other
Enumeration date
05/18/2020
Last updated
11/27/2023
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