Individual
JAMIE BASAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD/LDN
Contact information
Practice address
24829 VINTAGE CT, LUTZ, FL 33559-7401
(727) 342-3915
Mailing address
24829 VINTAGE CT, LUTZ, FL 33559-7401
(727) 342-3915
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND7286
FL
Other
Enumeration date
07/24/2017
Last updated
07/21/2022
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