BRENT T TABATA
Dietitian and Nutritionist at Edenmore St, Bradenton, FL

License number
Florida 5012
Issued Date
Oct 20, 2006
Effective Date
Jun 15, 2015
Expiration Date
May 31, 2013
Category
Health Care
Type
Dietetics/Nutritionist
Address
Address 2
7461 Edenmore St, Bradenton, FL 34202
501 6Th Ave S, Saint Petersburg, FL 33701
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Brent Tabata
7139 Boca Grove Pl, Bradenton, FL 34202

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