Individual
CHARLENE M. DORCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LMNT, CDE
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
701681
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0982-0113
CERITIFIED DIABETES EDUCA
NE
01
—
274792
PTAN
NE
05
—
47077294513
—
NE
01
—
51
MED NUTRITION THERAPIST
NE
01
—
701681
REGISTERED DIETITIAN
NE
Enumeration date
05/18/2006
Last updated
07/28/2010
Update your record
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