Individual
HANNAH RETTALIATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
165 ASHLEY AVE, CHARLESTON, SC 29425-8905
(843) 792-9476
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1646
SC
133V00000X
Registered Dietitian
86097482
SC
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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