Individual
MRS. TRACEY MITCHELL PESCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
509 HUBBARD DRIVE, LANCASTER, SC 29720
(803) 313-7450
(803) 313-7194
Mailing address
PO BOX 889, LANCASTER, SC 29721
(803) 313-7450
(803) 313-7194
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
813484
SC
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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