Individual
SHIRA GLUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3842 W 16TH AVE, HIALEAH, FL 33012-7040
(954) 543-1797
Mailing address
4510 PINE TREE DR, MIAMI BEACH, FL 33140-3134
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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