Individual
MRS. TASHA NAOMI BRICKHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD/N
Contact information
Practice address
1055 SAXON BLVD, ORANGE CITY, FL 32763-8468
(386) 917-5141
(386) 917-5261
Mailing address
1055 SAXON BLVD, ORANGE CITY, FL 32763-8468
(386) 917-5141
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND7848
FL
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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