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MS. GUENIA AXINIA BRAVO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD.,LD

Contact information

Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-2694
Mailing address
1674 ELLENWOOD DR NE, ROSWELL, GA 30075-3142
(678) 469-9881

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002979
GA

Other

Enumeration date
05/23/2007
Last updated
07/08/2007
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