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Dietary & Nutritional Service Providers Nutritionist Nutrition, Education

Provider NPI: 1770770117

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
Tel: 601-984-5660  Fax: --

Business Mailing Address:
Tel: 601-984-5660  Fax: 601-984-6870

NPI Information:
NPI: 1770770117
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y133NN1002XDietary & Nutritional Service Providers
Nutrition, Education

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 133NN1002X





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