MRS. Penny West Dickerson, RD

NPI #1073369658 in Choctaw, Mississippi

Provider Information

NPI Number: 1073369658
Entity Type: Individual
Name: MRS. Penny West Dickerson, RD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD
Enumeration Date: Apr 25, 2024
Last Updated: Apr 25, 2024

Practice Location

Address: 210 HOSPITAL CIR
City: Choctaw
State: Mississippi
ZIP Code: 39350-6781
Phone: (601) 389-4132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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