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Individual

PHARA JOURDAN TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS RD LDN

Contact information

Practice address
10570 S US HIGHWAY 1, PORT SAINT LUCIE, FL 34952-5606
(772) 878-8227
(772) 324-7863
Mailing address
402 NW LYNDHURST CT, PORT ST LUCIE, FL 34983-3440
(772) 878-8227
(772) 324-7863

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND5606
FL

Other

Enumeration date
12/15/2006
Last updated
06/03/2024
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