Individual
MYRA VERGANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD LDN CDE
Contact information
Practice address
109 CHURCH ST, BLACK MOUNTAIN, NC 28711-3301
(386) 864-0365
Mailing address
109 CHURCH ST, BLACK MOUNTAIN, NC 28711-3301
(386) 864-0365
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L001643
NC
Other
Enumeration date
07/28/2017
Last updated
07/21/2022
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