Organization
GNUSLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA L BECERRA RD, LD/N, CDE (MANAGER)
(305) 878-0656
Entity
Organization
Contact information
Practice address
1244 SW 14TH ST, MIAMI, FL 33145-1644
(305) 878-0656
Mailing address
1244 SW 14TH ST, MIAMI, FL 33145-1644
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND2716
FL
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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