Individual
LAURA VAZZO MCDEVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.,R.D.,LD/N
Contact information
Practice address
428 CLEARWATER DR, PONTE VEDRA BEACH, FL 32082-4170
(904) 469-1717
Mailing address
428 CLEARWATER DR, PONTE VEDRA BEACH, FL 32082-4170
(904) 469-1717
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND5548
FL
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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