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Individual

MS. DORIS DIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD LD/N

Contact information

Practice address
6431 NW 109TH AVE, DORAL, FL 33178-3704
(305) 898-7321
Mailing address
6431 NW 109TH AVE, DORAL, FL 33178-3704
(305) 898-7321

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
ND 3918
FL
133V00000X
Registered Dietitian
Primary
ND 3918
FL

Other

Enumeration date
02/28/2008
Last updated
02/28/2008
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