KELLY DIAMOND

CHARLOTTE, NC
NPI1063933372
Former NameKELLY MARTRAY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence:   883192)
Enumeration Date2017-06-28
Last Update Date2017-06-28
Business Address
KELLY DIAMOND RD
428 E 4TH ST
CHARLOTTE, NC 28202-2434
Phone number: 617-413-2867
Mailing Address
KELLY DIAMOND RD
428 E 4TH ST
CHARLOTTE, NC 28202-2434
Phone number: