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MS. XISMARI COLLAZO-COLON
>> Dietitian, Registered >> Dietary & Nutritional Service ProvidersRegistrant NPI Number: 1598009755
Individual Registrant:MS. XISMARI COLLAZO-COLON
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
2400 HOSPITAL RD TUSKEGEE, AL 36083-5001 US
Tel: 334-727-0550 Fax: --
Tel: 334-727-0550 Fax: --
Contact information for business:
2400 HOSPITAL RD TUSKEGEE, AL 36083-5001 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1598009755
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 133V00000X | Dietary & Nutritional Service Providers Dietitian, Registered | AL | 2152 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
