1902995301

Everything you always wanted to know about BRAVO MICHELLE R.D., L.D.,C.D.E but were afraid to ask.

BRAVO MICHELLE R.D., L.D.,C.D.E

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Provider Last Name Provider First Name Provider Credential
BRAVO MICHELLE R.D., L.D.,C.D.E
Gender:
Female
Enumeration date:
2006-10-12
Last update date:
2011-04-01
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
133N00000X Nutritionist MD DX2459 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 2392879498
Practice Location Address Telephone Number 2392879498

Addresses

Type Address City State Postal Country
Mailing Address 657 POMPANO DRIVE NAPLES FL 34110 FL
Practice Location Address 657 POMPANO DRIVE NAPLES FL 34110 FL