Individual
MARY ELISE KREILICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD/N, CSR, LD/N
Contact information
Practice address
1002 LAKE DEESON WOODS LN, LAKELAND, FL 33805-7650
(225) 802-4356
Mailing address
1002 LAKE DEESON WOODS LN, LAKELAND, FL 33805-7650
(225) 802-4356
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND6108
FL
133VN1005X
Renal Nutrition Registered Dietitian
ND6108
FL
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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