Individual
MS. EVELYN THERESA LEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LD,CDE
Contact information
Practice address
1462 MONTREAL RD, SUITE 203, TUCKER, GA 30084-6929
(678) 527-0800
(770) 674-1871
Mailing address
3444 BROXTON MILL WAY, SNELLVILLE, GA 30039-4441
(678) 344-6930
(770) 674-1871
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001734
GA
Other
Enumeration date
01/17/2007
Last updated
10/24/2007
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