Organization
THE COMPOSITION DIETITIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADDIE CLAIRE MERLETTI RD (OWNER/RD)
(919) 909-4601
Entity
Organization
Contact information
Practice address
1804 MIDWOOD DR, RALEIGH, NC 27604-2325
(919) 909-4601
Mailing address
1804 MIDWOOD DR, RALEIGH, NC 27604-2325
(919) 909-4601
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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