Organization
TOP DOG NUTRITION & FITNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHEENA JOY MYLES (OPERATIONS MANAGER/CO-OWNER)
(228) 872-1749
Entity
Organization
Contact information
Practice address
4708 GIBSON RD, #105, OCEAN SPRINGS, MS 39564-6042
(228) 872-1749
(228) 872-1749
Mailing address
4708 GIBSON RD, #105, OCEAN SPRINGS, MS 39564-6042
(228) 872-1749
(228) 872-1749
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
241367
FL
2255A2300X
Athletic Trainer
Primary
234140
FL
Other
Enumeration date
03/18/2011
Last updated
03/18/2011
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