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Individual

MRS. ARLENE LILLIAN KASNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NC

Contact information

Practice address
3475 SHERIDAN ST, SUITE 309, HOLLYWOOD, FL 33021-3663
(954) 986-6400
(561) 483-0114
Mailing address
8863 SUNSCAPE LN, BOCA RATON, FL 33496-5053
(561) 482-8257
(561) 483-0114

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NC 507
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NC 507
LICENSED NUTRITIONIST
FL
Enumeration date
11/06/2012
Last updated
11/06/2012
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