Individual
AMANDA CORRINE MAUCERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD LD/N
Contact information
Practice address
2552 MERCHANT AVE, ODESSA, FL 33556-3468
(727) 534-9742
Mailing address
3735 HERLONG ST, NEW PORT RICHEY, FL 34655-2067
(727) 534-9742
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 5431
FL
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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