Individual
DARIUS HIESTAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1090 VINEHAVEN DR NE, CONCORD, NC 28025-2438
(704) 403-7580
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005767
NC
Other
Enumeration date
01/31/2022
Last updated
12/09/2024
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