Little, Medora

Little, Medora is an individual health care provider with primary practice located at 482 Nd Medical Squadron 12749 Elmendorf St, Bldg 347, Homestead Afb FL 33039-0001. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Little, Medora can be contacted via phone (304) 224-7309.

Contact Information

Primary practice address
482 Nd Medical Squadron 12749 Elmendorf St, Bldg 347 Homestead Afb FL 33039-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND 3219 Florida

Profile Details

NPI number 1619126083
LBN Legal business name Little, Medora
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2008
Last updated Mar 12th, 2010 - about 14 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.

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