Individual
CARLA RUSSELL SNOPEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
513 KEYWOOD CIR, FLOWOOD, MS 39232-3019
(601) 933-1136
(601) 948-3649
Mailing address
3500 LAKELAND DR, SUITE 517, FLOWOOD, MS 39232-3017
(601) 932-2140
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
816364
MS
Other
Enumeration date
05/20/2010
Last updated
12/03/2012
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