Individual
SHEILA R LAVERTUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(210) 916-3656
Mailing address
3851 ROGER BROOKE DRIVE, MCHE-QD, FORT SAM HOUSTON, TX 78234-6200
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
074.0000205
VT
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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