Individual
GINA CODUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
22426 CARRIAGE BUSH, SAN ANTONIO, TX 78261-4416
(630) 464-2209
Mailing address
4530 BRIGGS DR SE APT 103A, OLYMPIA, WA 98501-5563
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT88950
TX
Other
Enumeration date
09/07/2023
Last updated
09/13/2023
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