Individual
DR. GINA LOUISE DE LORETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD (REGISTERED DIETI
Contact information
Practice address
12665 SW GINGERLINE DRIVE, PORT ST. LUCIE, FL 34987
(240) 320-2672
Mailing address
12665 SW GINGERLINE DRIVE, PORT ST. LUCIE, FL 34987
(240) 320-2672
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND4634
FL
Other
Enumeration date
01/04/2007
Last updated
03/26/2025
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