Individual
MRS. DORIS MARIA NICOLAS-MIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1001 ROCK QUARRY RD, RALEIGH, NC 27610-3825
(919) 833-5376
Mailing address
215 FIREWEED PL, CLAYTON, NC 27527-4572
(919) 585-2904
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003159
NC
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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