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Joanna Grace Bark Inge, RDNLD

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

NPI number1558093385
StatusActive
Last updated in NPPESJun 29, 2022

Details

NPI
1558093385
Entity type
Individual (NPI-1)
Name
Joanna Grace Bark Inge
Credential
RDNLD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 29, 2022
Certification date
Jun 29, 2022
Last updated
Jun 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered1648ALYes

Practice location

14 W Jordan St Ste 124
Pensacola, FL 32501-1740

Phone 850-485-5535 · Fax 888-490-2942

Mailing address

14 W Jordan St Ste 124
Pensacola, FL 32501-1740

Phone 850-485-5535 · Fax 888-490-2942

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