Doctor Name: | MRS. MICHELLE LORRAINE VILLARREAL |
NPI Number: | 1043451610 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 00864028 |
Business Practice Address: | 1219 Corpus Christi St Unit A Laredo, TX - 780405314 |
Business Phone Number: | 9567449446 |
Business Fax Number: | 9565685226 |
Mailing Address: | 1219 Corpus Christi St Unit A, LAREDO |
State: | TX |
Postal Code: | 780405314 |
Phone Number: | 9567449446 |
Fax Number: | 9565685226 |
NPI Enumeration Date: | 03/11/2009 |
NPI Last Update Date: | 03/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 00864028 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |