Individual
MS. MICHELLE GAUTREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN/LDN
Contact information
Practice address
325 MDG, 340 MAGNOLIA CIRCLE, TYNDALL AFB, FL 32403
(850) 283-3826
Mailing address
325 MDG, 340 MAGNOLIA CIRCLE, TYNDALL AFB, FL 32403
(850) 283-3826
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
ND3408
FL
Other
Enumeration date
06/12/2006
Last updated
06/18/2019
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