Individual
NICOLE FRESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1590 79TH AVE N, SAINT PETERSBURG, FL 33702-4039
(941) 705-2210
Mailing address
1590 79TH AVE N, SAINT PETERSBURG, FL 33702-4039
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND7571
FL
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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