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Individual
ANGELA SPENCER
Active
Individual
ANGELA SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, CTTS, CH
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2018026835
VA
133VN1006X
Metabolic Nutrition Registered Dietitian
1019447
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1019447
CDR
VA
01
—
2018026835
LD
VA
Enumeration date
11/21/2018
Last updated
11/21/2018
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