Individual
MS. MARIAH JANE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
781 AVENT FERRY RD, SUITE 206, HOLLY SPRINGS, NC 27540-7776
(919) 552-8914
Mailing address
1600 PERIMETER PARK DR, SUITE 225, MORRISVILLE, NC 27560-8421
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002989
NC
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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