Individual
LLYAMARIE MALDONADO HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
296 ARBOR LAKES DR, DAVENPORT, FL 33896-8167
(407) 449-3978
Mailing address
296 ARBOR LAKES DR, DAVENPORT, FL 33896-8167
(407) 449-3978
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86082654
FL
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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