Individual
MS. LEANNA JANE PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
420 GOLDSBORO AVE, CAROLINA BEACH, NC 28428-4835
(336) 906-0801
Mailing address
420 GOLDSBORO AVE, CAROLINA BEACH, NC 28428-4835
(336) 906-0801
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005331
NC
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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