Individual
MRS. TOMEKIA L VIKHROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6707
(912) 435-6791
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6707
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003452
GA
Other
Enumeration date
08/25/2011
Last updated
09/27/2011
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