Individual
BIBIANA QUIASUA MEJIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4307 GUMBO LIMBO DR, ORLANDO, FL 32822-3170
(978) 398-2597
Mailing address
4307 GUMBO LIMBO DR, ORLANDO, FL 32822-3170
(978) 398-2597
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND10657
FL
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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