Individual
SEDREK CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFIED NUTRITIONI
Contact information
Practice address
3406 SOHO ST APT 101, ORLANDO, FL 32835-7593
(574) 903-3965
Mailing address
3406 SOHO ST SUITE 101, ORLANDO, FL 32835
(574) 903-3965
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
79170
FL
133N00000X
Nutritionist
79170
FL
133NN1002X
Nutrition Education Nutritionist
Primary
79170
FL
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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