Individual
MS. KENYA LATRICA MCCANT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
122A GORDON COMMERCIAL DR, LAGRANGE, GA 30240-5740
(706) 845-4035
(706) 845-4309
Mailing address
6300 MOSELEY DIXON RD, APT. 202P, MACON, GA 31220-8400
(478) 475-0423
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002906
GA
Other
Enumeration date
09/02/2005
Last updated
07/08/2007
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