Individual
MS. ANDREA RENEE KOMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739
(662) 772-3186
(662) 772-3197
Mailing address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739
(662) 772-3186
(662) 772-3197
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1274
MS
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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