Chediak, Yesenia
Chediak, Yesenia is an sole proprietor health care provider with primary practice located at 19620 Nw 83Rd Ave , Hialeah FL 33015-5998. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Chediak, Yesenia can be contacted via phone (786) 704-7496.Contact Information
Primary practice address
19620 Nw 83Rd Ave
Hialeah FL 33015-5998
Phone: (786) 704-7496
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | ND7883 | Florida |
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 1067825 |
Profile Details
| NPI number | 1720788847 |
|---|---|
| LBN Legal business name | Chediak, Yesenia |
| Credentials | RDN, LD/N |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2023 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720788847 | NPPES |
| Florida | Other | ND7883 | LICENSED DIETITIAN NUTRITIONIST |
| Florida | Other | 1067825 | LICENSED DIETITIAN NUTRITIONIST |
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