Individual
JOHANNA CUESTA ULLOA
Active
Individual
JOHANNA CUESTA ULLOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LD, RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1101653
NV
133V00000X
Registered Dietitian
Primary
DT85850
TX
Other
Enumeration date
11/27/2012
Last updated
04/16/2019
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