Individual
DONNELL FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
4027 DUKE FIRTH ST, LAND O LAKES, FL 34638-7911
(813) 833-2881
Mailing address
4027 DUKE FIRTH ST, LAND O LAKES, FL 34638-7911
(813) 833-2881
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 3029
FL
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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