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Individual

TERESA LYNN MCDERMOTT

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
2900 VETERANS WAY, VIERA, FL 32940-8007
(321) 637-3788
Mailing address
7838 FALLING LEAF PL, MELBOURNE, FL 32940-6424
(321) 752-4599

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
871506

Other

Enumeration date
02/21/2006
Last updated
07/08/2007
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