Individual
TRACEY LEIGH GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
60 WASHINGTON ST, DOVER, DE 19901
(919) 724-6678
Mailing address
60 WASHINGTON ST, DOVER, DE 19901-3847
(919) 724-6678
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003418
NC
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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