Individual
MS. UVALYNE DIANE PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
210 BLACK GOLD BLVD., SUITE 107, HAZARD VA CLINIC, HAZARD, KY 41701
(606) 436-2350
Mailing address
HAZARD VA CLINIC, 210 BLACK GOLD BLVD., SUITE 107, HAZARD, KY 41701
(606) 436-2350
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
124641
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124641
LICENSED DIETITIAN
KY
01
—
697026
REGISTERED DIETITIAN
KY
Enumeration date
06/02/2017
Last updated
06/02/2017
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