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Cedric R Waller
Nutrition Education Nutritionist in Kannapolis, North Carolina
NPI 1639824907

Cedric R Waller is a Nutrition Education Nutritionist based in Kannapolis, NC and is specialized in Nutrition, Education. Cedric R Waller practices in Kannapolis, NC. The NPI Number for Cedric R Waller is 1639824907 and holds a License No. (North Carolina).

The current practice location address for Cedric R Waller is 171 Ashmount Dr, Kannapolis, NC and can be reached out via phone at 901-491-5007.

Location: 171 Ashmount Dr, Kannapolis, NC, 28081
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639824907
Provider Name
Cedric R Waller
Credential
Provider Entity Type
Individual
Gender
Male
Address
171 Ashmount Dr, Kannapolis, NC, 28081
Phone Number
901-491-5007
Fax Number
Provider Enumeration Date
02/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
171 Ashmount Dr
City
Kannapolis
State
North Carolina
Zip
28081
Phone Number
901-491-5007
Fax Number
person
Provider Business Mailing Address Details
Address
171 Ashmount Dr
City
Kannapolis
State
North Carolina
Zip
28081
Phone Number
901-491-5007
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Nutritionist
Speciality
Nutrition, Education
Taxonomy
133NN1002X
License No.
()
Definition
Definition to come...
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