Individual
KUALA LIZNEY LABRADOR BLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
901 MEADOWS RD, BOCA RATON, FL 33486-2300
(561) 416-8995
Mailing address
901 MEADOWS RD, BOCA RATON, FL 33486-2300
(561) 416-8995
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND4756
FL
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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