Individual
LISSA DENIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
7242 SW 42ND TER, MIAMI, FL 33155-4531
(305) 495-1989
Mailing address
10540 SW 111TH ST, MIAMI, FL 33176-3419
(305) 495-1989
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND6099
FL
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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