Shoba Balaji, RDN | |
312 Osprey Nest Ct, Ponte Vedra Beach, FL 32082-6283 | |
(508) 963-8537 | |
Not Available |
Full Name | Shoba Balaji |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 312 Osprey Nest Ct, Ponte Vedra Beach, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699430355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | ND10022 (Florida) | Secondary |
133V00000X | Dietitian, Registered | 86145501 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Shoba Balaji, RDN 312 Osprey Nest Ct, Ponte Vedra Beach, FL 32082-6283 Ph: (508) 963-8537 | Shoba Balaji, RDN 312 Osprey Nest Ct, Ponte Vedra Beach, FL 32082-6283 Ph: (508) 963-8537 |
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