Individual
ANGEL CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 MAIN AVE APT 24, NITRO, WV 25143-1277
(304) 881-1811
Mailing address
140 MAIN AVE APT 24, NITRO, WV 25143-1277
(304) 881-1811
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1256
WV
Other
Enumeration date
08/21/2019
Last updated
07/24/2023
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