Individual
CASEY TRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
Mailing address
323 NW 16TH ST, GAINESVILLE, FL 32603-1612
(630) 479-7918
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND9591
FL
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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