Individual
SUPARNA MISRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
944 VAN GERT DR, WINTERVILLE, NC 28590-7914
(252) 847-9501
Mailing address
944 VAN GERT DR, WINTERVILLE, NC 28590-7914
(252) 847-9501
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004088
NC
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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