Medora Little RD

NPI 1619126083 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1619126083
Gender Female
Enumeration Date 09/10/2008
Last Updated 03/12/2010
Entity Type Individual
Active Over 8 years ago
Practice Location
482 ND MEDICAL SQUADRON
12749 ELMENDORF ST, BLDG 347
HOMESTEAD AFB FL, 33039-0001, US
Phone (304) 224-7309
Fax
Business Location
1472 21ST ST SW
LARGO FL, 33770-4743, US
Phone (813) 827-9360
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Florida
License Number ND 3219
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According to our database, Ms. Medora Little RD NPI is 1619126083, taxonomy code is 133V00000X and license number is ND 3219, license state is located at Florida. Medora Little RD physically located at 482 Nd Medical Squadron, Homestead Afb FL, 33039-0001. NPI Number Medora Little RD has the Individual type.

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1619126083 NPI number is provided on an as is basis without warranty of any kind. 1619126083 is maintained by the National Plan & Provider Enumeration System. The contents of Medora Little RD are for informational purposes only.