Individual
KRISTINE PAGNOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2696 W 74TH ST, HIALEAH, FL 33016-5428
(786) 409-1049
Mailing address
2696 W 74TH ST, HIALEAH, FL 33016-5428
(786) 409-1049
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND7645
FL
Other
Enumeration date
10/12/2024
Last updated
10/12/2024
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