Professional Nutrition Services LLC
NPI #1316477813 in Belzoni, Mississippi
Provider Information
- NPI Number
- 1316477813
- Entity Type
- Organization
- Organization Name
- Professional Nutrition Services LLC
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Jun 15, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 301 LEE ST
- City
- Belzoni
- State
- Mississippi
- ZIP Code
- 39038-3705
- Phone
- (662) 836-4450
Authorized Official
- Name
- MRS. LATOSHA WILDER YOUNG, RD, LD
- Title
- OWNER/MANAGER
- Phone
- (662) 836-4450
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nutritionist - Nutrition, Education — Nutrition, Education |
| Dietitian, Registered |
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