Individual
MS. JULIE M WALENTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DIETICIAN
Contact information
Practice address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(910) 715-5741
(910) 715-1725
Mailing address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(910) 715-5741
(910) 715-1725
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002757
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L002757
LICENSE
NC
Enumeration date
05/05/2009
Last updated
05/05/2009
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