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Individual

CAROLYN BIVANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN

Contact information

Practice address
9010 STRADA STELL CT STE 208, NAPLES, FL 34109-4427
(239) 734-1593
Mailing address
943 FOUNTAIN RUN, NAPLES, FL 34119-1356

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND11273
FL

Other

Enumeration date
11/20/2023
Last updated
11/20/2023
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