Individual
SUSAN BERNADETTE SKALESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
901 N WINSTEAD AVE, ROCKY MOUNT, NC 27804-8467
(252) 937-0290
(252) 937-3111
Mailing address
PO BOX 7200, ROCKY MOUNT, NC 27804-0200
(252) 937-0200
(252) 451-0056
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004981
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L004891
LICENSE
NC
Enumeration date
07/22/2020
Last updated
07/22/2020
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