Individual
JUAN LUIS CRUZ COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, RDN, LDN
Contact information
Practice address
4024 STIRRUP CREEK DR, DURHAM, NC 27703-9464
(919) 767-0222
Mailing address
PO BOX 13289, DURHAM, NC 27709-3289
(919) 908-0238
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L006795
NC
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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