Individual
MS. GINGER ELAINE SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LD
Contact information
Practice address
710 N 64TH ST, WACO, TX 76710-4387
(512) 686-6012
(512) 842-7227
Mailing address
512 W MLK JR BLVD # 148, AUSTIN, TX 78701-1231
(512) 868-6012
(512) 842-7227
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81999
TX
Other
Enumeration date
03/19/2016
Last updated
03/19/2016
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