Individual
CORISTA FIKES MOSHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
8641 MAJESTIC ELM CT, LAKEWOOD RANCH, FL 34202-6403
(941) 782-7134
Mailing address
8641 MAJESTIC ELM CT, LAKEWOOD RANCH, FL 34202-6403
(941) 782-7134
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND5052
FL
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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