Individual
MICHELLE BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.,C.D.E
Contact information
Practice address
657 POMPANO DRIVE, NAPLES, FL 34110
(239) 287-9498
Mailing address
657 POMPANO DRIVE, NAPLES, FL 34110
(239) 287-9498
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX2459
MD
Other
Enumeration date
10/12/2006
Last updated
04/01/2011
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