Organization
DIETVANA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONICA L CAPILLE MHA, RD, LDN (REGISTERED DIETITIAN)
(786) 203-9130
Entity
Organization
Contact information
Practice address
301 E YAMATO RD STE 1240, BOCA RATON, FL 33431-4931
(786) 203-9130
Mailing address
301 E YAMATO RD STE 1240, BOCA RATON, FL 33431-4931
(786) 203-9130
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
03/29/2021
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