Organization
PROFESSIONAL NUTRITION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATOSHA WILDER YOUNG RD, LD (OWNER/MANAGER)
(662) 836-4450
Entity
Organization
Contact information
Practice address
301 LEE ST, BELZONI, MS 39038-3705
(662) 836-4450
Mailing address
301 LEE ST, BELZONI, MS 39038-3705
(662) 836-4450
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
D1613
MS
133V00000X
Registered Dietitian
Primary
D1613
MS
Other
Enumeration date
06/15/2017
Last updated
07/21/2022
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