Individual
VICKI M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
301 YADKIN ST, ALBEMARLE, NC 28001-3441
(704) 983-7820
Mailing address
10019 TREESIDE LN, MATTHEWS, NC 28105-7223
(973) 489-7870
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003324
NC
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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