Individual
MS. WHITNEY ANN SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
18 OAK BRANCH DR STE C, GREENSBORO, NC 27407-2444
(336) 579-2312
(336) 579-2365
Mailing address
PO BOX 604050, CHARLOTTE, NC 28260-4050
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L006207
NC
Other
Enumeration date
09/30/2020
Last updated
06/16/2021
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