Individual
VICTORIA ELENA SOUFFRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NUTRITIONIST
Contact information
Practice address
574 E 3RD ST, MOUNT VERNON, NY 10553-1802
(914) 720-6468
Mailing address
574 E 3RD ST, MOUNT VERNON, NY 10553-1802
(914) 720-6468
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
006312-1
NY
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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