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Individual

JULIA ROSE MICHELLE LAVALLEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RDN

Contact information

Practice address
3724 JEFFERSON ST STE 104, AUSTIN, TX 78731-6204
(512) 692-7045
Mailing address
211 FOCUS LN, WINSTON SALEM, NC 27106-8664
(309) 369-7422

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
01/16/2019
Last updated
07/19/2024
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