Individual
RACHAEL DAVIS ELLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
414 E MAIN ST, DURHAM, NC 27701-3720
(919) 560-7790
Mailing address
414 E MAIN ST, DURHAM, NC 27701-3720
(919) 560-7790
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003242
NC
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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