Individual
ALICE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 S MAIN ST, WATER VALLEY, MS 38965-3468
(662) 473-4050
(662) 473-4191
Mailing address
604 S MAIN ST, WATER VALLEY, MS 38965-3468
(662) 473-4050
(662) 473-4191
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1001126
MS
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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