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Individual

MRS. LAURA KASHTAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1690 DUNLAWTON AVE STE 220, PORT ORANGE, FL 32127-8980
(386) 271-2273
Mailing address
5421 S BAHAMA CT, CENTENNIAL, CO 80015-4863
(757) 876-6089

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
12/02/2021
Last updated
12/02/2021
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