CASEY PROVO

MEMPHIS, TN
NPI1386163707
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: TN  3200)
Enumeration Date2017-09-18
Last Update Date2018-03-17
Business Address
CASEY PROVO MS, RDN, LDN
1689 NONCONNAH BLVD.
MEMPHIS, TN 38132
Phone number: 901-523-8990
Mailing Address
CASEY PROVO MS, RDN, LDN
1156 WEST NATCHEZ POINT #72
MEMPHIS, TN 38103
Phone number:
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