Hannah Libera
Dietitian, Registered in Raleigh, NC. Individual provider (NPI-1).
NPI number1164032272
StatusActive
Last updated in NPPESAug 4, 2020
Details
- NPI
- 1164032272
- Entity type
- Individual (NPI-1)
- Name
- Hannah Libera
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 4, 2020
- Certification date
- Aug 4, 2020
- Last updated
- Aug 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86036521 | NC | Yes |
Practice location
516 Phelps AveRaleigh, NC 27607-7260
Phone 336-260-6340
Mailing address
516 Phelps AveRaleigh, NC 27607-7260
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