Individual
CIERRA LAZANA MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN, M.ED.
Contact information
Practice address
2633 CENTENNIAL BLVD STE 100, TALLAHASSEE, FL 32308-0606
(850) 431-5404
Mailing address
121 TENNEL RD, MIDWAY, FL 32343-2607
(850) 459-1025
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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