Individual
EMMA VILAGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
2206 BARNES ST, REIDSVILLE, NC 27320-8150
(336) 616-1611
Mailing address
2206 BARNES ST, REIDSVILLE, NC 27320-8150
(336) 616-1611
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86109941
NC
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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