Individual
CRISTINA M GRULLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, CDE
Contact information
Practice address
9250 W FLAGLER ST, MIAMI, FL 33174-3414
(305) 552-2467
Mailing address
3968 SW 156TH CT, MIAMI, FL 33185-5420
(305) 724-6733
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND4140
FL
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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