Organization
NUTRITION ANDREA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA GROON RD LDN (OWNER)
(919) 787-8019
Entity
Organization
Contact information
Practice address
2631 LAKEVIEW DR, RALEIGH, NC 27609-7632
(919) 787-8019
Mailing address
2631 LAKEVIEW DR, RALEIGH, NC 27609-7632
(919) 787-8019
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0427
NC
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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