Medical Nutrition Services LLC

NPI #1659711059 in Orange Beach, Alabama

Provider Information

NPI Number: 1659711059
Entity Type: Organization
Organization Name: Medical Nutrition Services LLC
Primary Specialty: Dietitian, Registered
Enumeration Date: Jun 28, 2013
Last Updated: Jul 24, 2013

Practice Location

Address: 24400 PERDIDO BEACH BLVD
Address 2: SUITE #016
City: Orange Beach
State: Alabama
ZIP Code: 36561-6072
Phone: (251) 622-5881

Authorized Official

Name: CATHERINE VIRGINIA MOORE, RN, MN, FNP-C
Title: VICE-PRESIDENT
Phone: (225) 953-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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MR. Juan Manuel Ramirez, M.S. R.D.	Dietitian, Registered	Maxwell Afb	AI Deep Dive
MS. Theresa D Klose	Dietitian, Registered	Mafb	AI Deep Dive
Kimberly D Addison, RD	Dietitian, Registered	Cullman	AI Deep Dive
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