Individual
MARCY KAY ABNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4519 TILTON CT, FORT MYERS, FL 33907-1214
(239) 494-8777
(239) 494-8752
Mailing address
4519 TILTON CT, FORT MYERS, FL 33907-1214
(239) 494-8777
(239) 494-8752
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND6336
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ND6336
MEDICAL LICENSE
FL
Enumeration date
07/12/2013
Last updated
07/12/2013
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