Individual
LISSETTE QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
596 LAKE MCCOY DR, APOPKA, FL 32712-3607
(407) 920-2735
Mailing address
596 LAKE MCCOY DR, APOPKA, FL 32712-3607
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 5772
FL
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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