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Individual

MRS. KATHERINE MASHBURN GODIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LDN

Contact information

Practice address
1520 SUNDAY DR, RALEIGH, NC 27607-5253
(919) 354-7077
Mailing address
1520 SUNDAY DR STE 309, RALEIGH, NC 27607-5254
(919) 354-7077
(919) 354-7075

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003089
NC
133V00000X
Registered Dietitian

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1427465202
NC
05
DT1028
SC
Enumeration date
07/14/2014
Last updated
02/14/2024
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