Individual
MS. NICOLE MARIE MATALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
212 S SALEM ST, APEX, NC 27502-1825
(919) 362-5201
Mailing address
2620 NEW BERN AVE, RALEIGH, NC 27610-1821
(919) 255-6721
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003997
NC
Other
Enumeration date
08/01/2012
Last updated
08/06/2014
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