MILLICENT TANNER

JACKSONVILLE BEACH, FL
NPI1467495242
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy133V00000X Dietitian, Registered
Enumeration Date2006-06-13
Last Update Date2007-07-08
Business Address
MILLICENT TANNER R.D.,C.D.E.
340 16TH AVE N
JACKSONVILLE BEACH, FL 32250-4819
Phone number: 904-247-1911
Mailing Address
MILLICENT TANNER R.D.,C.D.E.
340 16TH AVE N
JACKSONVILLE BEACH, FL 32250-4819
Phone number: 904-247-1911