# COREYANN K POLY GERACIE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1881800738
- **Gender:** F
- **Credential:** PHD, RDN, LD, CDE

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | 32 | MA | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 01/05/2024