Individual
MS. GLADYS BORGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LD/N
Contact information
Practice address
13941 15TH STREET, PCHD WIC & NUTRITION SERVICES, DADE CITY, FL 33525
(352) 521-1450
Mailing address
12110 TASHA CT, NEW PORT RICHEY, FL 34654-1844
(352) 521-1450
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
ND5003
FL
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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