Organization
MOCKINGBIRD NUTRITION COUNSELING L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR DOKTYCZ MS, RD, LD (OWNER, REGISTERED DIETITIAN)
(804) 551-3877
Entity
Organization
Contact information
Practice address
4691 DEVERON DR, KERNERSVILLE, NC 27284-6857
(804) 551-3877
Mailing address
4691 DEVERON DR, KERNERSVILLE, NC 27284-6857
(804) 551-3877
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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