Individual
MRS. AMANDA GLADNEY CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.
Contact information
Practice address
117 KIRKSIDE DR, STARKVILLE, MS 39759-4113
(662) 324-0309
(662) 324-0309
Mailing address
117 KIRKSIDE DR, STARKVILLE, MS 39759-4113
(662) 324-0309
(662) 324-0309
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1120
MS
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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