Individual
MRS. JENNETTE DENISE PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/LD/N
Contact information
Practice address
3625 NW 82ND AVE STE 400-A1, DORAL, FL 33166-6652
(786) 481-4975
Mailing address
2640 SW 150TH CT, MIAMI, FL 33185-5620
(305) 502-5442
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND4561
FL
Other
Enumeration date
06/07/2022
Last updated
05/08/2025
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