Individual
NICOLE MICHELLE DEGIOVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2908 KENSINGTON RD, MELBOURNE, FL 32935-2419
(321) 890-6740
Mailing address
2908 KENSINGTON RD, MELBOURNE, FL 32935-2419
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND11523
FL
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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