Individual
MRS. DENITZA ISSAEVA MLADENOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD/N
Contact information
Practice address
3225 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-2762
(904) 253-1520
Mailing address
3225 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-2762
(904) 253-1520
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 5731
FL
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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