Individual
JOHANA JAROSOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
601 E ROLLINS ST # R, ORLANDO, FL 32803-1248
(407) 609-1590
Mailing address
859 MCCULLOUGH AVE APT 305, ORLANDO, FL 32803-7252
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10009
FL
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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