Individual
MS. JUDITH H. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.,M.S.
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5318
Mailing address
431 COVE DR, BILOXI, MS 39531-2001
(228) 385-2621
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
585619
MS
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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