Individual
JAMES WESLEY BRASSEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
6138 CLEARSKY DR, JACKSONVILLE, FL 32258-8430
(904) 868-0826
Mailing address
6138 CLEARSKY DR, JACKSONVILLE, FL 32258-8430
(904) 868-0826
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
11047
FL
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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