Individual
CEDRIC R WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
171 ASHMOUNT DR, KANNAPOLIS, NC 28081
(901) 491-5007
Mailing address
171 ASHMOUNT DR, KANNAPOLIS, NC 28081
(901) 491-5007
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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