Individual
MRS. LINDA OTTEN FITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
10 SUNNYBROOK RD, RALEIGH, NC 27610-1808
(919) 250-3177
Mailing address
1213 MAURY CT, RALEIGH, NC 27615-4529
(919) 676-0710
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L000998
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L000998
—
NC
Enumeration date
02/26/2009
Last updated
02/26/2009
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