Individual
MS. PATRICIA KAY KOSHUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,LD/N
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-5298
Mailing address
600 N 20TH AVE, APT 6, HOLLYWOOD, FL 33020-4078
(954) 922-5824
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND3134
FL
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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