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MRS. ELIZABETH BOYD ODOM RD, LDN

>> Nutritionist >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1700190832

Individual Registrant:
MRS. ELIZABETH BOYD ODOM RD, LDN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
19 NORTH DOBBS STREET  HALIFAX, NC 27839-0010 US
Tel: 252-583-5021  Fax: 252-583-2975

Contact information for business:
19 NORTH DOBBS STREET  HALIFAX, NC 27839-0010 US
Tel: 252-583-5021  Fax: 252-583-2975

Registration Information:
NPI: 1700190832
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N133N00000XDietary & Nutritional Service Providers
Nutritionist
NCL001680
Y133VN1006XDietary & Nutritional Service Providers
Dietitian, Registered
NC843319

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
6005545NC05
340432NC05
3404433NC05




HEALTH CARE JOBS NC - Page 1



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