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MS. XISMARI COLLAZO-COLON

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1598009755

Individual Registrant:
MS. XISMARI  COLLAZO-COLON 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2400 HOSPITAL RD  TUSKEGEE, AL 36083-5001 US
Tel: 334-727-0550  Fax: --

Contact information for business:
2400 HOSPITAL RD  TUSKEGEE, AL 36083-5001 US
Tel: --  Fax: --

Registration Information:
NPI: 1598009755
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
AL2152

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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