Individual
MRS. REBECCA BUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
350 WEST WOODROW WILSON AVENUE, 2ND FLOOR, RENAL CLINIC, JACKSON, MS 39213
(601) 815-6572
(601) 984-4151
Mailing address
350 WEST WOODROW WILSON AVENUE, 2ND FLOOR, RENAL CLINIC, JACKSON, MS 39213
(601) 815-6572
(601) 984-4151
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1624
MS
Other
Enumeration date
06/12/2017
Last updated
07/21/2022
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