Individual
MRS. CASSANDRA ANNE SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN, CPT
Contact information
Practice address
4904 ROSENA DR, CHARLOTTE, NC 28227-3007
(978) 376-0458
Mailing address
4904 ROSENA DR, CHARLOTTE, NC 28227-3007
(978) 376-0458
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
4213
MA
133V00000X
Registered Dietitian
Primary
L005407
NC
133VN1006X
Metabolic Nutrition Registered Dietitian
L005407
NC
Other
Enumeration date
01/29/2017
Last updated
02/20/2019
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