Individual
MRS. ASHLEY W FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.
Contact information
Practice address
105 SPANN DR, SUITE C, BRANDON, MS 39047-8752
(601) 919-0972
(601) 919-0974
Mailing address
105 SPANN DR, SUITE C, BRANDON, MS 39047-8752
(601) 919-0972
(601) 919-0974
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1193
MS
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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