Individual
CRISTINA REBEKAH PUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CSP, LD
Contact information
Practice address
555 REPUBLIC DR STE 200, PLANO, TX 75074-5469
(972) 422-9180
(888) 821-2292
Mailing address
555 REPUBLIC DR, STE 200, PLANO, TX 75074-5469
(972) 422-9180
(888) 821-2292
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80354
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982917126
—
TX
Enumeration date
05/20/2017
Last updated
03/17/2018
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