Organization
MNT DELTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVEN DENIS CANTAVE RD (REGISTERED DIETITIAN)
(216) 633-8189
Entity
Organization
Contact information
Practice address
208 COURT SQ, LEXINGTON, MS 39095-3628
(216) 633-8189
Mailing address
208 COURT SQ, LEXINGTON, MS 39095-3628
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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