Individual
SHORUS MINELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 ROCK QUARRY RD, RALEIGH, NC 27610-3825
(919) 250-2978
Mailing address
116 ABBOTT LN, CARY, NC 27513-4140
(843) 845-0699
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L008225
NC
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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