Individual
MRS. IRENE M. SOUCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
600 N BROAD ST STE 1, MIDDLETOWN, DE 19709-1032
(302) 376-3060
Mailing address
7 AUGUSTINE BLVD, MIDDLETOWN, DE 19709-2214
(302) 753-0560
(302) 376-7190
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
20100312122
DE
133VN1005X
Renal Nutrition Registered Dietitian
20100312122
DE
Other
Enumeration date
03/12/2010
Last updated
03/12/2010
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