Individual
LENA ELIZABETH TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
9936 MONTAGUE ST, TAMPA, FL 33626-1864
(862) 324-0514
Mailing address
9936 MONTAGUE ST, TAMPA, FL 33626-1864
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND10027
FL
Other
Enumeration date
11/29/2020
Last updated
01/14/2021
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