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Individual

LAURA MARCELA VERNAZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN

Contact information

Practice address
113 WOODSTONE PT, CIBOLO, TX 78108-3271
(210) 837-7996
Mailing address
113 WOODSTONE PT, CIBOLO, TX 78108-3271
(210) 837-7996

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86298
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
700000572447
UNITED HEALTH CARE
TX
Enumeration date
12/09/2019
Last updated
12/09/2019
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