Individual
RAVEN SAMONE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
833 SAINT VINCENTS DR, BIRMINGHAM, AL 35205-1606
(205) 933-4640
Mailing address
833 SAINT VINCENTS DR, BIRMINGHAM, AL 35205-1606
(205) 933-4640
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2615
AL
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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