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ILSE ALEJANDRA ANFOSO VALDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
4220 DALLAS ST, BEAUMONT, TX 77703-2020
(409) 223-9920
Mailing address
4220 DALLAS ST, BEAUMONT, TX 77703-2020
(409) 223-9920

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT87247
TX

Other

Enumeration date
01/09/2023
Last updated
01/09/2023
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