Individual
CHASIDIE GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10400 MALLARD CREEK RD STE 340, CHARLOTTE, NC 28262-5203
(919) 597-8146
Mailing address
7916 TIMBER COMMONS LN APT P, CHARLOTTE, NC 28212-8637
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L006200
NC
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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