Individual
SHIRLEY PELLETIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
198 NC HIGHWAY 45 N, PLYMOUTH, NC 27962-9232
(252) 791-3100
(252) 793-0129
Mailing address
195 GUSTOWN RD, CRESWELL, NC 27928-8805
(252) 797-7517
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
920339
NC
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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