Individual
SANDRA MOUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
288 S RIDGECREST AVE, RUTHERFORDTON, NC 28139-2838
(828) 286-5522
Mailing address
288 S RIDGECREST AVE, RUTHERFORDTON, NC 28139-2838
(828) 286-5522
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002379
NC
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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