Individual
MICHELLE FUTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 EXECUTIVE DR, RALEIGH, NC 27609-7476
(919) 946-1573
(919) 855-8040
Mailing address
1908 QUAIL RIDGE RD, RALEIGH, NC 27609-4136
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002336
NC
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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