Individual
MRS. DIANNA KATHRYN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD/N
Contact information
Practice address
851 W LUMSDEN RD, BRANDON, FL 33511-6280
(813) 546-1143
Mailing address
10203 PINK PALMATA CT, RIVERVIEW, FL 33578-3627
(813) 546-1143
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND4125
FL
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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