Individual
VICTORIA ROUGHSEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
1717 11TH AVE S, MT 727, BIRMINGHAM, AL 35205
(205) 975-2249
Mailing address
1717 11TH AVE S, MT 727, BIRMINGHAM, AL 35205
(205) 975-2249
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3330
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3330
ALABAMA BOARD OF DIETETICS AND NUTRITIONISTS
AL
01
—
86199308
CDR
AL
Enumeration date
08/22/2022
Last updated
08/22/2022
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