Individual
MISS CRYSTAL A LANGLOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 865-3239
(228) 867-4139
Mailing address
1318 ARBOR VIEW CIR, DIBERVILLE, MS 39540-4825
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D0954
MS
Other
Enumeration date
11/10/2006
Last updated
07/09/2007
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