Individual
WANDA NOBLITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-4697
Mailing address
4282 TUX RIVER CIR, BILOXI, MS 39532-8838
(228) 523-4697
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1375
MS
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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