Individual
KATHERINE CLIFTON CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3521 HAWORTH DR, RALEIGH, NC 27609-7244
(919) 782-1806
(919) 782-4756
Mailing address
PO BOX 18563, RALEIGH, NC 27619-8563
(919) 782-1806
(919) 782-4756
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003467
NC
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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