Individual
MRS. BLAIR SKINNER ALSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD/N
Contact information
Practice address
4555 S MANHATTAN AVE, TAMPA, FL 33611-2305
(813) 839-6341
(813) 837-0721
Mailing address
2506 WRENCREST CIR, VALRICO, FL 33594-6319
(813) 657-7609
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND4083
FL
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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