Individual
PATRICK BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RDN, LDN
Contact information
Practice address
3760 BAPTIST CHAPEL RD, GODWIN, NC 28344-8626
(910) 523-1711
Mailing address
3760 BAPTIST CHAPEL RD, GODWIN, NC 28344-8626
(910) 523-1711
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005483
NC
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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