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Individual

MISS TIFFANY GRAGG HENDREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D., L.D.N.

Contact information

Practice address
2460 CURTIS ELLIS DR, ROCKY MOUNT, NC 27804-2237
(252) 962-8054
Mailing address
2460 CURTIS ELLIS DR, ROCKY MOUNT, NC 27804-2237
(252) 962-8054

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003506
NC

Other

Enumeration date
11/02/2009
Last updated
03/20/2012
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