Individual
MITCHELL VANGELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
8794 SILER CITY GLENDON RD, BEAR CREEK, NC 27207-9064
(919) 819-4850
Mailing address
8794 SILER CITY GLENDON RD, BEAR CREEK, NC 27207-9064
(919) 819-4850
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137941
—
VA
Enumeration date
11/01/2018
Last updated
07/17/2024
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