Individual
XAVIER ANDRES PANCHANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RDN, LDN
Contact information
Practice address
17030 NW 66TH CT, HIALEAH, FL 33015-4639
(305) 200-7195
Mailing address
17030 NW 66TH CT, HIALEAH, FL 33015-4639
(305) 200-7195
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
FL
Other
Enumeration date
11/26/2021
Last updated
11/29/2021
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