Individual
MS. STEPHANIE GAYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
1235 RAMSEY ST, FAYETTEVILLE, NC 28301-4401
(910) 433-3764
(910) 433-3661
Mailing address
202 E 13TH ST, LUMBERTON, NC 28358-4729
(910) 736-7619
(910) 433-3661
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
896950
NC
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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