Individual
MS. THERESA MARIE PERRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LDN,CDE
Contact information
Practice address
3827 1ST STREET LANE NW, HICKORY, NC 28601
(828) 261-0054
Mailing address
3827 1ST STREET LANE NW, HICKORY, NC 28601
(828) 261-0054
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L001910
NC
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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