Individual
PAULINA RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10400 MALLARD CREEK RD STE 340, CHARLOTTE, NC 28262-5203
(704) 549-9550
Mailing address
10400 MALLARD CREEK RD STE 340, CHARLOTTE, NC 28262-5203
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86152911
NC
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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