Individual
DIANE GUSTINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12213 KAYSMOUNT CT, RALEIGH, NC 27614-6936
(919) 306-3447
Mailing address
12213 KAYSMOUNT CT, RALEIGH, NC 27614-6936
(919) 306-3447
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003214
NC
Other
Enumeration date
06/28/2010
Last updated
08/25/2021
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