Individual
KENTAURIA HENLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1020 JOHNSONS LN, HAZLEHURST, MS 39083-8601
(601) 265-1014
Mailing address
1020 JOHNSONS LN, HAZLEHURST, MS 39083-8601
(601) 265-1014
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D2202
MS
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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