Most Relevant Information
Provider Data
| NPI Number: | 1003672163 |
| Provider Name: | JOSIE MIRABELLI KHARITONENKOV RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/26/2024 |
| Last Updated: | 02/26/2024 |
Provider Practice Location
500 N CONGRESS AVE APT 91
WEST PALM BEACH
FL
334012951
Practice Location Phone/Fax
| Phone: | 2243159133 |
| Fax: |
Provider Mailing Location
500 N CONGRESS AVE APT 91
WEST PALM BEACH
FL
334012951
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |