Individual
MAUREEN MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.,L.N.
Contact information
Practice address
6555 NW 9TH AVE, FORT LAUDERDALE, FL 33309-2067
(954) 771-2091
Mailing address
6555 NW 9TH AVE, FORT LAUDERDALE, FL 33309-2067
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND5842
FL
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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