Individual
FLORENCIA TARASIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
660 EVENING PINE LN, ALPHARETTA, GA 30005-7417
(770) 380-2160
Mailing address
660 EVENING PINE LN, ALPHARETTA, GA 30005-7417
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
GA
174N00000X
Lactation Consultant (Non-RN)
Primary
L-122267
—
Other
Enumeration date
01/24/2018
Last updated
02/22/2022
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