Individual
CELESTE DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-8874
(228) 497-8869
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-8874
(228) 497-8869
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
724667
MS
133V00000X
Registered Dietitian
819
LA
Other
Enumeration date
06/22/2006
Last updated
05/29/2015
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