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Organization
EN LA MESA NUTRITION LLC
Active
Organization
EN LA MESA NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA MESA RDN, LDN, CDCES (OWNER)
(786) 218-4310
Entity
Organization
Contact information
Practice address
1120 SE MADISON ST, PORTLAND, OR 97214-3618
(786) 600-7586
(786) 954-1856
Mailing address
810 NE 149TH ST, NORTH MIAMI, FL 33161-2349
(786) 218-4310
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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