Mindy Coker Black, MS,RD,CSSD,CPT
NPI #1205067303 in Neptune Beach, Florida
Provider Information
- NPI Number
- 1205067303
- Entity Type
- Individual
- Name
- Mindy Coker Black, MS,RD,CSSD,CPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- MS,RD,CSSD,CPT
- Enumeration Date
- Aug 6, 2009
- Last Updated
- Aug 6, 2009
Practice Location
- Address
- 601 MAGNOLIA ST
- City
- Neptune Beach
- State
- Florida
- ZIP Code
- 32266-3733
- Phone
- (904) 673-8329
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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