Individual
ASA ELIASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32608
(352) 265-0111
Mailing address
1600 SW ARCHER RD, BOX 100371, GAINESVILLE, FL 32610-3001
(352) 265-8335
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND7958
FL
Other
Enumeration date
03/06/2017
Last updated
03/17/2017
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