Judy Gourley
NPI #1740686047 in South Boston, Virginia
Provider Information
- NPI Number
- 1740686047
- Entity Type
- Individual
- Name
- Judy Gourley
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Nov 13, 2014
- Last Updated
- Nov 17, 2014
Practice Location
- Address
- 2204 WILBORN AVE
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592-1645
- Phone
- (434) 517-3579
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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