Doctor Name: | MISS GINA LOUISE DE LORETTA |
NPI Number: | 1205983970 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD LDN |
License Number: | ND4634 |
Business Practice Address: | 12647 Olive Blvd Suite 600 Saint Louis, MO - 631416345 |
Business Phone Number: | 3147444145 |
Business Fax Number: | |
Mailing Address: | 6549 Tanglewood Bay Dr, Apartment 1519 ORLANDO |
State: | FL |
Postal Code: | 328219363 |
Phone Number: | 8504595710 |
Fax Number: | |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | ND4634 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |