Individual
ANU RAMGOOLAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
800 OHIO AVE, CLARKSDALE, MS 38614-7200
(662) 624-2504
(662) 627-3629
Mailing address
510 HIGHWAY 322, CLARKSDALE, MS 38614-4717
(662) 624-4292
(662) 624-4354
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1077
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05535558
—
MS
Enumeration date
07/14/2005
Last updated
07/08/2007
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