Individual
MARISA CRUZ AGUILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CDCES
Contact information
Practice address
214 S ALEXANDER AVE, DUNCANVILLE, TX 75116-4006
(469) 271-7529
Mailing address
214 S ALEXANDER AVE, DUNCANVILLE, TX 75116-4006
(469) 271-7529
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT82713
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT82713
TEXAS DEPARTMENT OF LICENSING AND REGULATION
TX
Enumeration date
12/15/2021
Last updated
12/15/2021
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