Individual
JENNIFER MIMKHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH RD LDN CLC CLT
Contact information
Practice address
11850 DR MARTIN LUTHER KING ST N APT 12304, SAINT PETERSBURG, FL 33716-1631
(484) 620-2785
Mailing address
11850 DR MARTIN LUTHER KING ST N APT 12304, SAINT PETERSBURG, FL 33716-1631
(484) 620-2785
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND6949
FL
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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