Individual
LAURA DEL VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
12230 W FOREST HILL BLVD, SUITE 160, WELLINGTON, FL 33414-5700
(561) 515-0848
Mailing address
12230 W FOREST HILL BLVD, SUITE 160, WELLINGTON, FL 33414-5700
(561) 515-0848
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND3460
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
298790
AVMED
FL
01
—
N0201
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
04/22/2007
Last updated
07/08/2007
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