Individual
KELSEE GOMES IX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MANNING DR # A, CHAPEL HILL, NC 27514-4220
(919) 966-6588
Mailing address
213 KOUSA TRL, CHAPEL HILL, NC 27516-4669
(919) 428-8932
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND5628
FL
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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