Individual
SYDNEY RAE BOEHNLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, CSSD
Contact information
Practice address
3250 ZEMKE AVE, TAMPA, FL 33621-5023
(813) 827-9809
Mailing address
3250 ZEMKE AVE, TAMPA, FL 33621-5023
(813) 827-9809
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86063342
MN
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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