MRS. Susan Thomas Jastrow, RD, LD, CDE
NPI #1215161104 in Round Mountain, Texas
Provider Information
- NPI Number
- 1215161104
- Entity Type
- Individual
- Name
- MRS. Susan Thomas Jastrow, RD, LD, CDE
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- RD, LD, CDE
- Enumeration Date
- May 7, 2009
- Last Updated
- Apr 25, 2013
Practice Location
- Address
- 1242 PT RANCH RD
- City
- Round Mountain
- State
- Texas
- ZIP Code
- 78663-5990
- Phone
- (512) 466-4407
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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