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Individual

MRS. DIANA H. RENFRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D., M.S., LDN

Contact information

Practice address
413 MCCONNELL ST, JEFFERSON, NC 28640-9772
(336) 246-2013
(336) 246-8163
Mailing address
413 MCCONNELL ST, JEFFERSON, NC 28640-9772
(336) 246-2013
(336) 246-8163

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003171
NC

Other

Enumeration date
09/04/2009
Last updated
09/04/2009
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