Whalio Doctors

NPI 1295088144

Alice M Payne-Blake

Practitioner Registered Dietetic Technician North Miami Beach, FL

Practice location

Address
540 NE 179th Dr Miami, North Miami Beach, FL 33162-1922
Phone
(305) 650-9024
Mailing address
540 NE 179th Dr, North Miami Beach, FL 33162-1922

Registered specialties

Registered Dietetic Technician Primary
Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 718051 (FL)

Registry record

NPI
1295088144
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Oct 2012
Record last updated
16 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.