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Organization

KRISTINE VAN WORKUM, RD, LDN, INC.

Active
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Organization

KRISTINE VAN WORKUM, RD, LDN, INC.

Active
Other names
Brevard Nutrition, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTINE ANN VAN WORKUM RD, LDN (PRESIDENT)
(443) 253-3170
Entity
Organization

Contact information

Practice address
107 N PALM AVE, INDIALANTIC, FL 32903-3131
(321) 327-7948
(321) 327-7914
Mailing address
514 VERACRUZ BLVD, INDIALANTIC, FL 32903-4728
(443) 253-3170
(321) 327-7914

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 5470
FL

Other

Enumeration date
02/25/2010
Last updated
02/25/2010
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