Amber Grapevine MS, RD

NPI 1821070863 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1821070863
Gender Female
Enumeration Date 11/16/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1303 MCCULLOUGH AVE
SUITE GL 70
SAN ANTONIO TX, 78212-5609, US
Phone (210) 226-9705
Fax (210) 223-4555
Business Location
367 E RAMSEY RD
SAN ANTONIO TX, 78216-4636, US
Phone (210) 349-9300
Fax (210) 366-2558
Toxanomy
Taxonomy Code 133V00000X
License State Texas
License Number DT06583
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According to our database, Amber Grapevine MS, RD NPI is 1821070863, taxonomy code is 133V00000X and license number is DT06583, license state is located at Texas. Amber Grapevine MS, RD physically located at 1303 Mccullough Ave, San Antonio TX, 78212-5609. NPI Number Amber Grapevine MS, RD has the Individual type.

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1821070863 NPI number is provided on an as is basis without warranty of any kind. 1821070863 is maintained by the National Plan & Provider Enumeration System. The contents of Amber Grapevine MS, RD are for informational purposes only.