Individual
DELORES PUFAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.,L.D.
Contact information
Practice address
7610 253RD ST E, MYAKKA CITY, FL 34251-5883
(941) 915-8057
(509) 696-9631
Mailing address
7610 253RD ST E, MYAKKA CITY, FL 34251-5883
(941) 915-8057
(509) 696-9631
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1716
FL
Other
Enumeration date
08/23/2014
Last updated
08/23/2014
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