Individual
MS. EVELYN LISSETTE VICTORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN, CNSC
Contact information
Practice address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 575-3257
Mailing address
1308 SW 143RD PL, MIAMI, FL 33184-3218
(786) 606-4063
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND6533
FL
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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