Individual
DIANE MARIE JENKINS LAVOIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
653 SANDBERG ST, SURFSIDE BEACH, SC 29575-8636
(978) 979-9512
Mailing address
653 SANDBERG ST, SURFSIDE BEACH, SC 29575-8636
(978) 979-9512
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
SC
Other
Enumeration date
03/13/2025
Last updated
07/26/2025
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