| NPI | 1689048357 |
|---|---|
| Other Name | EDDY TREVINO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT84164) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX 86044483) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2016-03-07 |