Individual
MS. JOSEPHINE THOMASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
11 EVANSMILL LN, PALM COAST, FL 32164-6214
(386) 569-5448
Mailing address
11 EVANSMILL LN, PALM COAST, FL 32164-6214
(386) 569-5448
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
915167
FL
133V00000X
Registered Dietitian
ND6152
FL
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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