Individual
MRS. MEKENZIE LYNN RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
19607 W CATAWBA AVE, CORNELIUS, NC 28031-4002
(704) 895-8000
Mailing address
19607 W CATAWBA AVE, CORNELIUS, NC 28031-4002
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1039274
NC
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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