Individual
REBECCA DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2051 NE 185TH ST, CITRA, FL 32113-2308
(352) 342-7225
Mailing address
2051 NE 185TH ST, CITRA, FL 32113-2308
(352) 342-7225
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND3891
FL
Other
Enumeration date
05/29/2019
Last updated
11/06/2024
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