Individual
MRS. LATOSHA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
301 LEE ST, BELZONI, MS 39038-3705
(662) 836-4450
Mailing address
301 LEE AVE., BELZONI, MS 39038
(662) 836-4450
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1613
MS
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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