Individual
MRS. MACON LOUISE CORNICK GUIDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
23 SUNNYBROOK RD, RALEIGH, NC 27610-1855
(919) 235-6439
Mailing address
3325 RIDGECREST CT, RALEIGH, NC 27607-6763
(919) 906-5740
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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