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Individual

CHEYENNE LOUISE RICHARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN, LD, MBA

Contact information

Practice address
21 FAYE LN, MOUNT PLEASANT, SC 29464-6626
(512) 695-0769
(843) 972-8914
Mailing address
1007 JOHNNIE DODDS BLVD STE 117, MOUNT PLEASANT, SC 29464-6123
(512) 580-8354

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1580
SC

Other

Enumeration date
07/11/2018
Last updated
07/11/2018
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