Individual
MARIZA UJAQUE-PESANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
9309 SORRENTO ST, DALLAS, TX 75228-4457
(214) 923-0403
Mailing address
9309 SORRENTO ST, DALLAS, TX 75228-4457
(214) 923-0403
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80620
TX
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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