Individual
CLARA DI VINCENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1601 TRINITY ST STOP A, AUSTIN, TX 78712-1766
(844) 442-8784
(512) 495-5680
Mailing address
926 BAYOU PKWY, HOUSTON, TX 77077-1136
(713) 854-1231
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86058876
TX
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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