Organization
RED RIVER MEDICAL NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS D MOTLEY MS, RDN, LDN (MANAGER)
(318) 485-9238
Entity
Organization
Contact information
Practice address
1115 E 7TH AVE, OAKDALE, LA 71463-2301
(318) 485-9238
Mailing address
148 DOUGLAS MEMORIAL RD, LEESVILLE, LA 71446-5404
(318) 485-9238
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
Other
Enumeration date
02/04/2019
Last updated
02/21/2019
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