Individual
DANIELLE ROUSSEAU SOUTHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
292 ASCOTT LANE, WOODSTOCK, GA 30189-7443
(404) 324-7500
Mailing address
292 ASCOTT LN, WOODSTOCK, GA 30189-7443
(404) 324-7500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/12/2018
Last updated
12/01/2021
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