Individual
KATE FIREOVID WILLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4201 CADY DR, GREENVILLE, NC 27834-8830
(617) 721-8255
Mailing address
4201 CADY DR, GREENVILLE, NC 27834-8830
(617) 721-8255
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005253
NC
Other
Enumeration date
09/25/2007
Last updated
02/25/2022
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