Doctor Name: | ANDREA L DUFRESNE |
NPI Number: | 1013282920 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSH, RD |
License Number: | 1022343 |
Business Practice Address: | 18945 Fm 2252 Suite 115 Garden Ridge, TX - 782662562 |
Business Phone Number: | 2105646602 |
Business Fax Number: | |
Mailing Address: | 1276 Rushing Dr, ORANGE PARK |
State: | FL |
Postal Code: | 320657371 |
Phone Number: | 9043336760 |
Fax Number: | |
NPI Enumeration Date: | 03/12/2012 |
NPI Last Update Date: | 03/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1022343 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |