Individual
MRS. LINDA FAYE JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
951 N WASHINGTON AVE, TITUSVILLE, FL 32796-2163
(321) 268-6333
Mailing address
951 N WASHINGTON AVE, TITUSVILLE, FL 32796-2163
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 5054
FL
Other
Enumeration date
03/07/2008
Last updated
03/07/2008
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