Individual
EBOW BRUCE-MENSAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RDN, LDN
Contact information
Practice address
501 N MAIN ST, SALISBURY, NC 28144-4303
(980) 330-6808
(980) 330-6938
Mailing address
PO BOX 604050, CHARLOTTE, NC 28260-4050
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L007085
NC
Other
Enumeration date
11/07/2022
Last updated
11/04/2024
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