Individual
DEANNE BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(850) 431-5742
Mailing address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(850) 431-5742
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND2967
FL
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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