Individual
DIANE KINGSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
333 17TH ST STE W, VERO BEACH, FL 32960-5687
(772) 538-2960
(772) 800-1050
Mailing address
333 17TH ST STE W, VERO BEACH, FL 32960-5687
(772) 538-2960
(772) 800-1050
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND7147
FL
225700000X
Massage Therapist
MA 50325
FL
Other
Enumeration date
04/20/2012
Last updated
09/28/2023
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