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WILLIAM MUBANDA

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1609278407

Individual Registrant:
 WILLIAM  MUBANDA 
Gender: M
Sole Proprietor

Location and contact information for practice:
18365 MORGANTON HWY  MORGANTON, GA 30560-4441 US
Tel: 828-234-7799  Fax: --

Contact information for business:
18365 MORGANTON HWY  MORGANTON, GA 30560-4441 US
Tel: 828-234-7799  Fax: --

Registration Information:
NPI: 1609278407
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
NCL003748
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
GALD002983

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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