Individual
CLARA GENE VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
4208 SIX FORKS RD STE 1000, RALEIGH, NC 27609-5738
(980) 296-0044
Mailing address
500 SAINT ALBANS DR UNIT 436, RALEIGH, NC 27609-6676
(229) 529-5975
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L006540
NC
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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