Individual
MRS. ROOPALATHA M DELLIBABU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA , RD , CSR,LDN
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 219-2278
Mailing address
508 AVENT FERRY RD, P O BOX 593, HOLLY SPRINGS, NC 27540-8926
(919) 219-2278
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002086
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043794922
FEDERAL TAX ID
NC
Enumeration date
03/25/2007
Last updated
06/20/2024
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