Individual
RAICHELL LYNN DORLAND-ROAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, DTR, CDM, CLC
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
—
—
133N00000X
Nutritionist
Primary
MED-NUTR-LIC-41207
MT
133V00000X
Registered Dietitian
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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