Individual
MRS. LINDA JUDITH LOPEZ MATIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D. L.D
Contact information
Practice address
555 W STATE ROAD 434, LONGWOOD, FL 32750-5119
(407) 262-2268
Mailing address
314 SPEYSIDE LN, APOPKA, FL 32712-4703
(407) 886-4079
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND655
FL
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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