Individual
STACEY AMY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
131 FM 3168, RAYMONDVILLE, TX 78580-3605
(956) 689-2196
Mailing address
1706 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8911
(956) 365-6000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00981966
TX
Other
Enumeration date
04/14/2008
Last updated
09/05/2019
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