Individual
MARIBEL MEDINA DE LA BARRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 ROCK QUARRY RD, RALEIGH, NC 27610-3825
(919) 833-3111
Mailing address
7915 CLOVER CREEK CT, RALEIGH, NC 27613-5218
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004770
NC
Other
Enumeration date
10/13/2016
Last updated
07/11/2017
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