Individual
NATHANAEL MEDUNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
47 LOUISE LUTHER DR, CUMBERLAND, RI 02864-6013
(910) 712-6206
Mailing address
47 LOUISE LUTHER DR, CUMBERLAND, RI 02864-6013
(910) 712-6206
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN01311
RI
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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