Individual
ELENA DENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN, CDCES
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(662) 213-5259
Mailing address
4075 N STATE ST, JACKSON, MS 39206-5755
(662) 213-5259
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1016127
MS
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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