Individual
MARTHA MUNN CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.N.
Contact information
Practice address
1301 FAYETTEVILLE ST, LINCOLN COMMUNITY HEALTH CENTER, DURHAM, NC 27701
(919) 956-4042
Mailing address
1612 BRAMBLE DRIVE, DURHAM, NC 27712-1212
(919) 471-6561
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L000158
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11456
REGISTERED DIETITIAN
—
01
—
L000158
LICENSED DIETITIAN NUTRIT
NC
Enumeration date
10/26/2006
Last updated
07/08/2007
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