Individual
MAMTA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6630 CRESTMONT GLEN LN, WINDERMERE, FL 34786-6408
(407) 325-9320
Mailing address
6630 CRESTMONT GLEN LN, WINDERMERE, FL 34786-6408
(407) 325-9320
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
864035
LA
Other
Enumeration date
08/18/2017
Last updated
05/19/2025
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