Individual
ELIZABETH JARAMILLO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
3451 VIA BRISA, SANTA FE, NM 87507-9620
(575) 491-2684
Mailing address
3451 VIA BRISA, SANTA FE, NM 87507-9620
(575) 491-2684
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD0661
NM
Other
Enumeration date
05/28/2012
Last updated
05/28/2012
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