Individual
MR. DUSTIN DRU HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.D.
Contact information
Practice address
15 WARREN PL, CHARLESTON, WV 25302-3613
(304) 389-3336
Mailing address
15 WARREN PL, CHARLESTON, WV 25302-3613
(304) 389-3336
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1107
WV
Other
Enumeration date
06/21/2021
Last updated
10/15/2021
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