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Individual

MRS. PATRICE LAFOLLETTE ATENCIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., RD, LDN

Contact information

Practice address
600 MOYE BLVD, GREENVILLE, NC 27834-4300
(252) 744-2350
(252) 744-5348
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L000955
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
150V6
BCBSNC
NC
Enumeration date
03/28/2008
Last updated
07/05/2022
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