Individual
ASHLEY MIKETINAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
270 ABNER JACKSON PKWY, LAKE JACKSON, TX 77566-5124
(979) 316-5100
Mailing address
270 ABNER JACKSON PKWY, LAKE JACKSON, TX 77566-5124
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86076194
—
133V00000X
Registered Dietitian
DT85949
TX
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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