Individual
TASSIA PIMENTA FONTELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 662-8368
Mailing address
1200 WEST AVE APT 331, MIAMI BEACH, FL 33139-4312
(786) 395-7765
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10442
FL
Other
Enumeration date
03/23/2023
Last updated
04/09/2023
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