Individual
DEANNA RUTH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 862-1111
Mailing address
1016 VALPARAISO BLVD, NICEVILLE, FL 32578-3500
(225) 276-8226
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND9720
FL
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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