Individual
DEBRA HILL MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
12213 SHADOW RIDGE LN, CHARLOTTE, NC 28273-4748
(704) 622-9546
Mailing address
12213 SHADOW RIDGE LN, CHARLOTTE, NC 28273-4748
(704) 622-9546
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L001376
NC
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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