Individual
PATRICE M CEPULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-6594
(919) 784-3180
Mailing address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-6594
(919) 784-3180
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
L002156
NC
133V00000X
Registered Dietitian
Primary
L002156
NC
Other
Enumeration date
07/20/2006
Last updated
11/02/2007
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