MEDICAL NUTRITION GROUP

MADISON, MS
NPI1174761860
Entity TypeOrganization
Authorized ContactKATI L LOYACONO
Director
228-493-2877
Organization Subpart ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: MS  D1026)
Enumeration Date2009-02-03
Last Update Date2009-02-03
Business Address
MEDICAL NUTRITION GROUP
250 LAKE VILLAGE DR
MADISON, MS 39110-6522
Phone number: 228-493-2877
Mailing Address
MEDICAL NUTRITION GROUP
250 LAKE VILLAGE DR
MADISON, MS 39110-6522
Phone number: 228-493-2877
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