Individual
TIFFANY BRAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD/N
Contact information
Practice address
3212 JENKS AVE, PANAMA CITY, FL 32405-4224
(850) 771-1521
Mailing address
1105 SUTHERLAND PLZ, LYNN HAVEN, FL 32444-8331
(850) 527-5194
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND8776
FL
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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