Organization
MEDICAL NUTRITION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE VIRGINIA MOORE RN, MN, FNP-C (VICE-PRESIDENT)
(225) 953-3100
Entity
Organization
Contact information
Practice address
24400 PERDIDO BEACH BLVD, SUITE #016, ORANGE BEACH, AL 36561-6072
(251) 622-5881
Mailing address
24400 PERDIDO BEACH BLVD, SUITE #016, ORANGE BEACH, AL 36561-6072
(251) 622-5881
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/28/2013
Last updated
07/24/2013
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