Individual
MR. JOSE R LLOSSAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.D,L.D.
Contact information
Practice address
115 S GLORIA ST, CLEWISTON, FL 33440-3505
(863) 983-2282
Mailing address
PO BOX 2155, CLEWISTON, FL 33440-2155
(863) 599-1657
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 4194
FL
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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