Individual
LEAH ELSPETH DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
5100 MACKAY RD, JAMESTOWN, NC 27282-9761
(336) 855-5596
Mailing address
800 REVOLUTION MILL DR APT 217, GREENSBORO, NC 27405-5675
(817) 614-5105
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
L005178
NC
Other
Enumeration date
01/14/2018
Last updated
01/14/2018
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