Individual
JANE CRITZ LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
840 N OAK AVE, RULEVILLE, MS 38771-3227
(662) 756-1649
(662) 756-4114
Mailing address
840 N OAK AVE, RULEVILLE, MS 38771-3227
(662) 756-1649
(662) 756-4114
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1322
MS
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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