Individual
MS. LESLIE ANN FIALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(314) 276-6241
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(314) 276-6241
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/23/2009
Last updated
12/23/2009
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