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Individual

MRS. DEANNA M HOWARD-GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LD, CDE

Contact information

Practice address
115 MIRACLE STRIP PKWY SE UNIT 101, FORT WALTON BEACH, FL 32548-5976
(850) 374-7604
(850) 792-2545
Mailing address
115 MIRACLE STRIP PKWY SE UNIT 101, FORT WALTON BEACH, FL 32548-5976
(850) 374-7604
(850) 792-2545

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND3885
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ND3885
FLORIDA
FL
Enumeration date
07/08/2009
Last updated
09/13/2022
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