Individual
DIANE YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 624-3272
Mailing address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003034
NC
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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