Individual
MARY LUCIA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LD
Contact information
Practice address
1479 BLUEBERRY DR, SNEADS, FL 32460-4060
(850) 593-6420
Mailing address
1479 BLUEBERRY DR, SNEADS, FL 32460-4060
(850) 593-6420
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
ND63
FL
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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