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Diane Bowden, RDN, LDN, CLC

Dietitian, Registered in Tallahassee, FL. Individual provider (NPI-1).

NPI number1265196554
StatusActive
Last updated in NPPESOct 24, 2021

Details

NPI
1265196554
Entity type
Individual (NPI-1)
Name
Diane Bowden
Credential
RDN, LDN, CLC
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 24, 2021
Certification date
Oct 24, 2021
Last updated
Oct 24, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, RegisteredND501FLYes

Practice location

3452 Welwyn Way
Tallahassee, FL 32309-8203

Phone 850-591-3063

Mailing address

3452 Welwyn Way
Tallahassee, FL 32309-8203

Phone 850-591-3063

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