Individual
MRS. LISERIS ALONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN,LND,LD
Contact information
Practice address
6002 BERRYHILL RD, MILTON, FL 32570-5062
(850) 626-5196
Mailing address
4311 BAYOU BLVD APT 122, PENSACOLA, FL 32503-1953
(787) 614-2850
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86020039
PR
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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