MRS. Ann Blackwell, CEDRD, RD, LD

NPI #1639414923 in Raleigh, Mississippi

Provider Information

NPI Number: 1639414923
Entity Type: Individual
Name: MRS. Ann Blackwell, CEDRD, RD, LD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: CEDRD, RD, LD
Enumeration Date: Nov 28, 2012
Last Updated: Nov 28, 2012

Practice Location

Address: 226 WHITEOAK AVE
City: Raleigh
State: Mississippi
ZIP Code: 39153-6082
Phone: (601) 782-9919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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