Individual
JESSIE MONTALTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LDN
Contact information
Practice address
410 LIONEL WAY STE 204, DAVENPORT, FL 33837-7809
(863) 419-8815
Mailing address
410 LIONEL WAY STE 204, DAVENPORT, FL 33837-7809
(863) 419-8815
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
ND9797
FL
133V00000X
Registered Dietitian
Primary
86151896
FL
Other
Enumeration date
02/18/2022
Last updated
02/21/2022
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