Individual provider · NPI-1

Christine Edwards Abraham, RD

Dietitian, Registered · San Antonio, TX

NPI number1356437818
StatusActive
Last updated in NPPESJul 25, 2024

Details

NPI
1356437818
Entity type
Individual (NPI-1)
Name
Christine Edwards Abraham
Credential
RD
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 4, 2006
Certification date
Jul 25, 2024
Last updated
Jul 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registereddt05507TXYes

Practice location

15200 Cadillac Dr
San Antonio, TX 78248-1017

Phone 210-352-0220

Mailing address

15200 Cadillac Dr
San Antonio, TX 78248-1017

Phone 210-352-0220

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