Provider Demographics
NPI:1942047568
Name:DUNBAR, VASILIKI ARLENE (RD)
Entity type:Individual
Prefix:
First Name:VASILIKI
Middle Name:ARLENE
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3604 ALCANTARA AVE # L63B
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-2390
Mailing Address - Country:US
Mailing Address - Phone:917-836-1107
Mailing Address - Fax:
Practice Address - Street 1:3604 ALCANTARA AVE # L63B
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-2390
Practice Address - Country:US
Practice Address - Phone:917-836-1107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10070133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered