Individual
MISS NIA MARIE MYLIKA EDDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
12600 DAVIS BLVD, FORT MYERS, FL 33905-1781
(239) 728-8558
Mailing address
12600 DAVIS BLVD, FORT MYERS, FL 33905-1781
(239) 728-8558
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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