Individual
MISS GENNY ROSE KOMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3110 RODMAN ST, CHARLOTTE, NC 28205-7644
(305) 401-0460
Mailing address
3110 RODMAN ST, CHARLOTTE, NC 28205-7644
(305) 401-0460
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L006690
NC
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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