Individual
MS. AMANDA GAIL SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
603 N WASHINGTON AVE, DIABETES EDUCATION, TITUSVILLE, FL 32796-2107
(321) 268-6699
Mailing address
603 N WASHINGTON AVE, DIABETES EDUCATION, TITUSVILLE, FL 32796-2107
(321) 268-6699
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 6309
FL
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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