ANDREA NICOLE URBAN

WAXHAW, NC
NPI1962873000
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: SC  86068270)
Additional Taxonomies133V00000X Dietitian, Registered
(Licence: NC  L004715)
133V00000X Dietitian, Registered
(Licence: SC  1425)
Enumeration Date2015-10-15
Last Update Date2016-10-04
Business Address
-- ANDREA NICOLE URBAN RD
2015 DUNSMORE LN
WAXHAW, NC 28173-8097
Phone number: 704-608-0526
Mailing Address
-- ANDREA NICOLE URBAN RD
222 S HERLONG AVE
ROCK HILL, SC 29732-1158
Phone number: 803-329-6886