Tello, Maryori Yuldana

Tello, Maryori Yuldana is an sole proprietor health care provider with primary practice located at 850 6Th Ave S Ste 300 , Jacksonville Beach FL 32250-4256. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Tello, Maryori Yuldana can be contacted via phone (954) 654-1139.

Contact Information

Primary practice address
850 6Th Ave S Ste 300 Jacksonville Beach FL 32250-4256
Phone: (954) 654-1139
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND8502 Florida

Profile Details

NPI number 1174247928
LBN Legal business name Tello, Maryori Yuldana
Credentials RD, LDN, CDM, CFPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2022
Last updated Sep 26th, 2022 - about 2 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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