Organization
STATE OF FLORIDA, DOH, BCHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHRYN ANN RILEY LD (SENIOR PUBLIC HEALTH NUTRITIONIST)
(850) 872-4666
Entity
Organization
Contact information
Practice address
597 W 11TH ST, PANAMA CITY, FL 32401-2330
(850) 872-4666
Mailing address
597 W 11TH ST, PANAMA CITY, FL 32401-2330
(850) 872-4666
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
ND 3566
FL
Other
Enumeration date
12/19/2006
Last updated
06/25/2008
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