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Individual

MR. ELIEZER ARCHANGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RDN, LD/N

Contact information

Practice address
496 SE MCDONALD LN, STUART, FL 34994-5934
(772) 777-0438
Mailing address
496 SE MCDONALD LN, STUART, FL 34994-5934
(772) 777-0438

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 6819
FL

Other

Enumeration date
04/23/2017
Last updated
04/23/2017
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