Individual
AMANDA BLAIR MADDALENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
7305 N MILITARY TRL, RIVIERA BEACH, FL 33410-7417
(561) 817-2286
Mailing address
7724 77TH WAY, WEST PALM BEACH, FL 33407-6739
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND8976
FL
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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