Individual
MR. DANIEL JESUS SANTIBANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPH, RD, LDN
Contact information
Practice address
3100 UNIVERSITY BLVD S, SUITE 220, JACKSONVILLE, FL 32216-2758
(904) 724-2043
Mailing address
901 OCEAN BLVD, #96, ATLANTIC BEACH, FL 32233-5458
(904) 318-7477
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND4786
FL
Other
Enumeration date
11/12/2006
Last updated
02/24/2009
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