Individual
AMBER M LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(619) 341-1636
Mailing address
1585 3RD ST, FORT POLK, LA 71459-5102
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
DT85128
TX
136A00000X
Registered Dietetic Technician
—
—
Other
Enumeration date
08/27/2013
Last updated
10/25/2022
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