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Individual

MISS JOANNE ALISON LEVANWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN LD

Contact information

Practice address
13701 HIDDEN OAKS DR, GULFPORT, MS 39503-7025
(228) 860-6058
(228) 832-1294
Mailing address
13701 HIDDEN OAKS DR, GULFPORT, MS 39503-7025
(228) 860-6058
(228) 832-1294

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1170
MS

Other

Enumeration date
01/16/2020
Last updated
01/16/2020
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