Individual
MISS ILA MAE AVITIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN , CLC
Contact information
Practice address
710 HART LN, NASHVILLE, TN 37243-1405
(615) 650-7026
Mailing address
710 HART LN, NASHVILLE, TN 37243-1405
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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