Individual
MRS. LACEY EASTERLING SAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D
Contact information
Practice address
212 REDFERN TRL, PETAL, MS 39465-2699
(601) 520-2962
Mailing address
212 REDFERN TRL, PETAL, MS 39465-2699
(601) 520-2962
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1041112
MS
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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