Individual
MRS. KRISTEN BRYDA BEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
608 SCALES TOWNE COURT, RALEIGH, NC 27608
(831) 206-4309
Mailing address
608 SCALES TOWNE COURT, RALEIGH, NC 27608
(831) 206-4309
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
00982532
NC
133V00000X
Registered Dietitian
Primary
L009232
NC
Other
Enumeration date
11/25/2009
Last updated
11/19/2012
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