Organization
MISSION NUTRITION, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRANDA HEBERT RDN (OWNER/DIETITIAN)
(337) 789-8582
Entity
Organization
Contact information
Practice address
24560 MARE POINT DR, PASS CHRISTIAN, MS 39571-3352
(337) 789-8582
Mailing address
24560 MARE POINT DR, PASS CHRISTIAN, MS 39571-3352
(337) 789-8582
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1264
MS
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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