Individual
MANDANA LA GRECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DCN, CNS
Contact information
Practice address
15815 DELANCEY LN, HUNTERSVILLE, NC 28078-5910
(704) 794-7329
Mailing address
13008 HINDCROSS DR, HUNTERSVILLE, NC 28078-7257
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
DX5227
MD
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
12/20/2017
Last updated
06/16/2021
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