Individual
MRS. CHANTELLE A RAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LDN
Contact information
Practice address
4560 CRAIN HWY STE 1, WHITE PLAINS, MD 20695-3084
(240) 210-9725
Mailing address
2708 CONOR CT, MARRERO, LA 70072-6270
(904) 469-4512
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86116533
LA
133V00000X
Registered Dietitian
Primary
DX5121
MD
Other
Enumeration date
11/02/2020
Last updated
11/05/2020
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