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Individual
CHRISTINE COUNTY
Active
Individual
CHRISTINE COUNTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
LD004242
GA
133NN1002X
Nutrition Education Nutritionist
LD004242
GA
133V00000X
Registered Dietitian
LD004242
GA
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
LD004242
GA
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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