Individual
MARIA NESTLEROAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MS333, CHARLESTON, SC 29425-8905
(843) 792-3886
Mailing address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MS333, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
864
SC
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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