Individual
SUSAN ELIZABETH WHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2906 17TH ST, SAINT CLOUD, FL 34769-6006
(407) 498-3468
Mailing address
2906 17TH ST, SAINT CLOUD, FL 34769-6006
(407) 498-3468
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 5233
FL
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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