Individual
REGINA ANN DAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3800 I 55 NORTH FRONTAGE ROAD, JACKSON, MS 39211
(601) 200-6099
Mailing address
3800 I-55 NORTH FRONTAGE ROAD, JACKSON, MS 39211
(601) 200-6099
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
863924
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
863924
REGISTERED DIETITIAN
MS
Enumeration date
09/18/2017
Last updated
09/18/2017
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