Individual
JULIE PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
101 BROKEN ARROW TRL, PETAL, MS 39465
(601) 689-0081
Mailing address
99 BROKEN ARROW TRL, PETAL, MS 39465-8954
(601) 689-0081
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
02/10/2023
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