Individual
MRS. ANITA VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CSO, LDN
Contact information
Practice address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 683-0055
Mailing address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 683-0055
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000000579
TN
Other
Enumeration date
04/23/2011
Last updated
04/23/2011
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