Individual
GEROMINA RAPHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD/N, CLC
Contact information
Practice address
406 NW 68TH AVE APT 104, PLANTATION, FL 33317-7517
(954) 394-4459
Mailing address
406 NW 68TH AVE APT 104, PLANTATION, FL 33317-7517
(954) 394-4459
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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