Individual
IVONNE RAQUEL HEADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 WESTBROOK DR APT D15, CARRBORO, NC 27510-2439
(571) 353-4518
Mailing address
201 WESTBROOK DR APT D15, CARRBORO, NC 27510-2439
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L008942
NC
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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