Individual
MS. CAROL GRUETZNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
618 RIVERSIDE DR, BASTROP, TX 78602-7207
(512) 718-4407
Mailing address
618 RIVERSIDE DR, BASTROP, TX 78602-7207
(512) 718-4407
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT02717
TX
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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