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Individual

MRS. DEMERA JAMIE HALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1009 MAIN STREET, DANBURY, NC 27016
(336) 593-2400
Mailing address
423 S HAWTHORNE RD, APT D, WINSTON SALEM, NC 27103-3787
(909) 556-0116

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
954464
CA

Other

Enumeration date
05/27/2010
Last updated
05/27/2010
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