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Individual
MISS SUELITA REYES DE LARA
Active
Individual
MISS SUELITA REYES DE LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD.LD.MS. CNS
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
R369988
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R369988
REGISTERED DIETITIAN
MD
Enumeration date
10/03/2006
Last updated
07/08/2007
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