Individual
MRS. CARISSA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NUTRITIONIST
Contact information
Practice address
350 NW 84TH AVE STE 200A, PLANTATION, FL 33324-1817
(954) 577-3249
(954) 424-0765
Mailing address
350 NW 84TH AVE STE 200A, PLANTATION, FL 33324-1817
(954) 577-3249
(954) 424-0765
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
ND3403
FL
Other
Enumeration date
12/27/2006
Last updated
01/27/2020
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