Individual
ELAINE LYNN SIRT-HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13813 METRO PKWY, FORT MYERS, FL 33912-4343
(239) 936-1343
(239) 936-8507
Mailing address
PO BOX 7006, FORT MYERS, FL 33911-7006
(239) 936-1343
(239) 936-8507
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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