Individual
MRS. CONSTANCE ELLEN DENYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
714 AVENUE C, FORT PIERCE, FL 34950-4189
(772) 462-3900
(772) 462-3869
Mailing address
2525 SW WARWICK ST, PORT ST LUCIE, FL 34984-4946
(772) 878-0620
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND553
FL
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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