Tracey Leigh Gaines, RD, LDN
Dietitian, Registered in Dover, DE. Individual provider (NPI-1).
NPI number1992274872
StatusActive
Last updated in NPPESNov 20, 2018
Details
- NPI
- 1992274872
- Entity type
- Individual (NPI-1)
- Name
- Tracey Leigh Gaines
- Credential
- RD, LDN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 20, 2018
- Last updated
- Nov 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | L003418 | NC | Yes |
Practice location
60 Washington StDover, DE 19901
Phone 919-724-6678
Mailing address
60 Washington StDover, DE 19901-3847
Phone 919-724-6678
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