Individual
MS. CHERRY EVON CARLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., LD/N
Contact information
Practice address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 324-4455
Mailing address
20170 NW 9TH DR, PEMBROKE PINES, FL 33029-3422
(954) 433-0611
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 922
FL
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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