Individual
MS. DAWN MICHELLI RICCITELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD,LDN
Contact information
Practice address
1000 MAR WALT DR, FT WALTON BCH, FL 32547-6708
(850) 862-1111
Mailing address
307 RIDGEWOOD AVE, MARY ESTHER, FL 32569-2711
(850) 685-4187
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND5252
FL
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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