| NPI | 1043462195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNETTE SMITH CLEMENTS Registered Dietitian 662-816-6349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MS D1035) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |