Individual
CHRISTINE ALLEGRA GAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, IBCLC
Contact information
Practice address
450 KANUHA DR, FORT WALTON BEACH, FL 32547-5027
(808) 681-9202
(850) 427-5782
Mailing address
450 KANUHA DR, FORT WALTON BEACH, FL 32547-5027
(808) 681-9202
(850) 427-5782
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND8742
FL
174N00000X
Lactation Consultant (Non-RN)
L-104867
VA
Other
Enumeration date
06/24/2015
Last updated
09/05/2019
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