Organization
VITAL NUTRITION COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY S CRUZ LD (OWNER/DIETITIAN)
(601) 550-0815
Entity
Organization
Contact information
Practice address
410 COURTHOUSE SQ STE 2, COLUMBIA, MS 39429-2985
(601) 441-9095
Mailing address
410 COURTHOUSE SQ, COLUMBIA, MS 39429-2985
(601) 441-9095
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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