Individual
MS. JANICE PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN, CDE
Contact information
Practice address
319 N GRAHAM - HOPEDALE ROAD, BURLINGTON, NC 27217
(336) 570-6474
(336) 570-6535
Mailing address
319 N GRAHAM - HOPEDALE ROAD, BURLINGTON, NC 27217
(336) 570-6474
(336) 570-6535
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
R000624738
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00709
—
NC
Enumeration date
05/07/2013
Last updated
05/07/2013
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