Individual
MS. THERESA CORRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CCN, CDE
Contact information
Practice address
19405 SW 280TH ST, HOMESTEAD, FL 33031-3316
(305) 281-9458
Mailing address
19405 SW 280TH ST, HOMESTEAD, FL 33031-3316
(305) 281-9458
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND3701
FL
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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