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Individual

MISS RAYLENTINA LATOYA DICKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
10104 DEEP CREEK DR, UNION CITY, GA 30291-1098
(404) 788-5217
Mailing address
10104 DEEP CREEK DR, UNION CITY, GA 30291-1098
(404) 788-5217

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DX6105
MD
133V00000X
Registered Dietitian
L007163
NC
133V00000X
Registered Dietitian
Primary
LD003485
GA

Other

Enumeration date
02/19/2012
Last updated
01/29/2025
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