Organization
KIMBLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LAURIE WENZEL RD (DIETITIAN)
(407) 397-9705
Entity
Organization
Contact information
Practice address
5263 IMAGES CIR, #106, KISSIMMEE, FL 34746-4756
(407) 397-9705
Mailing address
5263 IMAGES CIR, #106, KISSIMMEE, FL 34746-4756
(407) 397-9705
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND3529
FL
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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