Provider Demographics
NPI:1487868709
Name:JULIEN, RONNI LITZ (MS RDLDN)
Entity type:Individual
Prefix:MRS
First Name:RONNI
Middle Name:LITZ
Last Name:JULIEN
Suffix:
Gender:F
Credentials:MS RDLDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:21160 MAINSAIL CIR
Mailing Address - Street 2:SUITE H-14
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3509
Mailing Address - Country:US
Mailing Address - Phone:786-326-3262
Mailing Address - Fax:305-705-2048
Practice Address - Street 1:21160 MAINSAIL CIR
Practice Address - Street 2:SUITE H-14
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33180-3509
Practice Address - Country:US
Practice Address - Phone:786-326-3262
Practice Address - Fax:305-705-2048
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND6859133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered