Individual
CLANCY BRYANT STARGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
525 SW 41ST ST, GAINESVILLE, FL 32607-2763
(843) 737-2663
Mailing address
525 SW 41ST ST, GAINESVILLE, FL 32607-2763
(843) 737-2663
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD005205
GA
Other
Enumeration date
07/01/2021
Last updated
10/26/2022
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