Individual
MR. CLINTON JEROME RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3612 VIEW POINT DR, EDINBURG, TX 78542-5590
(956) 221-0839
Mailing address
3612 VIEW POINT DR, EDINBURG, TX 78542-5590
(956) 221-0839
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
04159504
TX
Other
Enumeration date
07/24/2012
Last updated
09/11/2025
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