Individual
GRETCHEN MOTTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,LDN,CDE,BCADM
Contact information
Practice address
8716 COURAGE CT, RALEIGH, NC 27615-8205
(919) 816-5776
Mailing address
8716 COURAGE CT, RALEIGH, NC 27615-8205
(919) 816-5776
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002987
NC
133V00000X
Registered Dietitian
ND 4771
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L002987
NC BOARD OF DIETETICS
NC
01
—
ND 4771
DIETITIAN LICENSE
FL
Enumeration date
09/29/2005
Last updated
11/10/2007
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