| NPI | 1427687631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AQUIERRA ANDERSON Registered Dietitian 662-458-5237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
| 133N00000X Nutritionist | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |