Individual
EDNA DE LATORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LND
Contact information
Practice address
350 VIA AVENTURA APT 7710, CONDOMINIO AVENTURA, TRUJILLO ALTO, PR 00976-6191
(618) 803-1818
Mailing address
350 VIA AVENTURA APT 7710, COND AVENTURA, TRUJILLO ALTO, PR 00976-6191
(618) 803-1818
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1009
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009
1009
PR
Enumeration date
05/05/2016
Last updated
05/05/2016
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