Individual
VANESSA MIJARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(407) 719-6456
Mailing address
10344 WINDING CREEK LN, ORLANDO, FL 32825-7320
(772) 214-8176
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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