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Individual
FELICIA M. GODOLPHIN
Active
Individual
FELICIA M. GODOLPHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LDN, CNSC
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
0000001606
TN
133NN1002X
Nutrition Education Nutritionist
1313
SC
133V00000X
Registered Dietitian
0000001606
TN
133V00000X
Registered Dietitian
1313
SC
133VN1006X
Metabolic Nutrition Registered Dietitian
0000001606
TN
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
1313
SC
Other
Enumeration date
09/05/2012
Last updated
07/21/2022
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