Individual
ROSA CORI ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
1501 IRVING PLACE, SHREVEPORT, LA 71101-4604
(318) 212-1194
(318) 212-1196
Mailing address
P.O. BOX 1684, SHREVEPORT, LA 71165-1684
(318) 212-1194
(318) 212-1196
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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