Individual
MRS. MARY GURGANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
4979 HEALTHY WAY, MARIANNA, FL 32446-7993
(850) 526-2412
(850) 718-0383
Mailing address
4979 HEALTHY WAY, MARIANNA, FL 32446-7993
(850) 526-2412
(850) 718-0383
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
ND3705
FL
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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