Individual
GENINE FAE BRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
356 ALHAMBRA CIR, CORAL GABLES, FL 33134-5004
(305) 445-0477
(305) 445-0958
Mailing address
8000 SW 160TH ST, PALMETTO BAY, FL 33157-3761
(786) 200-3231
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND5921
FL
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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