Provider Demographics
NPI:1205874435
Name:ALMOND, MARY ANGELA (RD, LDN)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:ANGELA
Last Name:ALMOND
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:MRS
Other - First Name:MARY
Other - Middle Name:ANGELA
Other - Last Name:CROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, LDN
Mailing Address - Street 1:5165 TUTELO TRL
Mailing Address - Street 2:
Mailing Address - City:WINSTON-SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27127-9421
Mailing Address - Country:US
Mailing Address - Phone:336-785-0809
Mailing Address - Fax:
Practice Address - Street 1:MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-0001
Practice Address - Country:US
Practice Address - Phone:336-713-3043
Practice Address - Fax:336-713-3038
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL000121133VN1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric