Individual
LORIDANA VALCOURT-FRAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD/N
Contact information
Practice address
208 LAFAYETTE CIR, WAYNESVILLE, MO 65583-2492
(954) 655-7306
Mailing address
208 LAFAYETTE CIR, WAYNESVILLE, MO 65583-2492
(954) 655-7306
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND3407
FL
Other
Enumeration date
07/02/2024
Last updated
08/19/2024
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