Individual
MRS. ELLAREETHA TRUEBLOOD CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
2009 W CENTRAL BLVD, ORLANDO, FL 32805-2124
(407) 872-1333
(407) 872-7135
Mailing address
4057 E MARYLAND PL, CASSELBERRY, FL 32707-5262
(407) 696-4096
(407) 696-4096
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
ND2349
FL
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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