Individual
MRS. NOVEL GOERGIA ALLEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, RD, LD/N
Contact information
Practice address
12379 PEMBROKE RD, PEMBROKE PINES, FL 33025-1723
(954) 205-3296
(954) 885-0363
Mailing address
18262 SW 25TH ST, MIRAMAR, FL 33029-5183
(954) 441-7578
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3175
FL
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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