Mnt Delta LLC
NPI #1952058158 in Lexington, Mississippi
Provider Information
- NPI Number
- 1952058158
- Entity Type
- Organization
- Organization Name
- Mnt Delta LLC
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Mar 7, 2022
- Last Updated
- Mar 7, 2022
Practice Location
- Address
- 208 COURT SQ
- City
- Lexington
- State
- Mississippi
- ZIP Code
- 39095-3628
- Phone
- (216) 633-8189
Authorized Official
- Name
- MARVEN DENIS CANTAVE, RD
- Title
- REGISTERED DIETITIAN
- Phone
- (216) 633-8189
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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