Individual
JOSIE ELIZABETH PHIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 VALENCIA RD, VENICE, FL 34285-2538
(941) 685-0502
Mailing address
604 VALENCIA RD, VENICE, FL 34285-2538
(941) 685-0502
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10780
FL
Other
Enumeration date
10/04/2024
Last updated
10/07/2024
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