Individual
MRS. DENISE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDN, RD
Contact information
Practice address
628 N 4TH ST, BIN#4, BATON ROUGE, LA 70802-5342
(225) 342-8064
Mailing address
5758 HOLLY SPRINGS DR, BATON ROUGE, LA 70817-3323
(225) 342-8064
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
601
LA
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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