Corinna Lynn Dorais, RDN
Nutritionist in Fpo, AP. Individual provider (NPI-1).
NPI number1023658705
StatusActive
Last updated in NPPESFeb 28, 2023
Details
- NPI
- 1023658705
- Entity type
- Individual (NPI-1)
- Name
- Corinna Lynn Dorais
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2020
- Certification date
- Feb 28, 2023
- Last updated
- Feb 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133N00000X | Nutritionist | – | – | Yes |
| 133V00000X | Dietitian, Registered | D5930 | MS |
Practice location
Nmrtc HospitalPsc 475
Fpo, AP 96350-9998
Phone 315-243-8649
Mailing address
Psc 475 Box 8Fpo, AP 96350-9998
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