Individual
MS. PETULA KWENDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD, LDN
Contact information
Practice address
5315 AMITY SPRINGS DR, CHARLOTTE, NC 28212-3648
(704) 222-6107
Mailing address
5315 AMITY SPRINGS DR, CHARLOTTE, NC 28212-3648
(704) 222-6107
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002327
NC
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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