Individual
CHRISTINE LAILA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
291 PICKETT DR, ST AUGUSTINE, FL 32084-6648
(904) 707-7449
Mailing address
291 PICKETT DR, ST AUGUSTINE, FL 32084-6648
(904) 707-7449
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
44399
FL
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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