Individual
MERIKELLY BORGOGNONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDE
Contact information
Practice address
105 SPANN DR, SUITE C, BRANDON, MS 39047-8810
(601) 919-0972
(601) 919-0974
Mailing address
105 SPANN DR, SUITE C, BRANDON, MS 39047-8810
(601) 919-0972
(601) 919-0974
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1042
MS
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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