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Individual

ANDRES EDUARDO AYESTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RD, LD

Contact information

Practice address
7804 N JAMAICA ST, TAMPA, FL 33614-3348
(812) 604-0958
Mailing address
7804 N JAMAICA ST, TAMPA, FL 33614-3348
(812) 604-0958

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
04/09/2020
Last updated
04/11/2024
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