Monique Blum, RD/LDN
Dietitian, Registered in Port St Lucie, FL. Individual provider (NPI-1).
NPI number1760100663
StatusActive
Last updated in NPPESAug 16, 2022
Details
- NPI
- 1760100663
- Entity type
- Individual (NPI-1)
- Name
- Monique Blum
- Credential
- RD/LDN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 16, 2022
- Certification date
- Aug 16, 2022
- Last updated
- Aug 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | ND7967 | FL | Yes |
Practice location
2324 Sw Valnera StPort St Lucie, FL 34953-2431
Phone 772-418-4761
Mailing address
2324 Sw Valnera StPort St Lucie, FL 34953-2431
Phone 772-418-4761
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All 23 Registered Dietitian providers in Port St Lucie · All 3,747 providers in Port St Lucie
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