Individual
GISELLE DIAZ LUQUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13800 VETERANS WAY, ORLANDO, FL 32827-7403
(407) 631-3614
Mailing address
2110 GACHET CT APT 208, ORLANDO, FL 32807-3775
(787) 375-9015
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
954250
PR
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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