Individual
STACEY BALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
911 WASHINGTON ST APT 103, RALEIGH, NC 27605-3205
(845) 264-1199
Mailing address
911 WASHINGTON ST APT 103, RALEIGH, NC 27605-3205
(845) 264-1199
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004237
NC
Other
Enumeration date
08/03/2017
Last updated
02/06/2019
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