DEMETRIUS JERMAINE WILLIS

SAN ANTONIO, TX
NPI1508098567
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: TX  DT81138)
Enumeration Date2009-08-10
Last Update Date2009-08-10
Business Address
Mr. DEMETRIUS JERMAINE WILLIS MBA, MS, RD, LD, CPT
225 E SONTERRA BLVD
SAN ANTONIO, TX 78258-3992
Phone number: 210-477-2799
Mailing Address
Mr. DEMETRIUS JERMAINE WILLIS MBA, MS, RD, LD, CPT
6422 MERLIN WAY
SAN ANTONIO, TX 78233-4661
Phone number: 121-048-5841