Individual
MRS. ANGELA PERROU RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
4709 CREEKSTONE DR STE 300, DURHAM, NC 27703-0016
(919) 385-7877
(919) 576-8806
Mailing address
8220 ORTIN LN, RALEIGH, NC 27612-7240
(919) 622-9409
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
L001920
NC
Other
Enumeration date
02/22/2019
Last updated
04/11/2023
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