Individual
MS. OFELIA BAYUTAS MUTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
965 DULUTH HWY STE 101, LAWRENCEVILLE, GA 30043-7316
(678) 683-2786
(678) 683-2786
Mailing address
965 DULUTH HWY STE 101, LAWRENCEVILLE, GA 30043-7316
(678) 683-2786
(678) 683-2786
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002082
GA
Other
Enumeration date
07/24/2006
Last updated
01/19/2015
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