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Individual

JOAN H ELIZONDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, CSO, LDN

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-2136
Mailing address
251 E HURON ST, GALTER PAVILLION, 18-250, CHICAGO, IL 60611-2908

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164.005603
IL
133V00000X
Registered Dietitian
Primary
2856
LA

Other

Enumeration date
07/01/2013
Last updated
08/29/2018
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