Individual
ANDREA BATHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
13941 15TH ST, DADE CITY, FL 33525-4010
(352) 521-1450
(352) 521-1407
Mailing address
30418 IVERSON DR, WESLEY CHAPEL, FL 33543-6862
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 4457
FL
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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