Individual
MRS. MARSHA M ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,R.D.,L.D.
Contact information
Practice address
15200 COMMUNITY RD, GARDEN PARK MEDICAL CENTER, GULFPORT, MS 39503-3085
(228) 575-7105
Mailing address
515 FOREST AVE N, LONG BEACH, MS 39560-3227
(228) 223-2993
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D0401
MS
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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