Individual
TRACI QUEBEDEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
201 W. WILLOW ST BLDG A, LAFAYETTE, LA 70501
(337) 262-5616
(337) 262-4976
Mailing address
107 KEENELAND LN, LAFAYETTE, LA 70503-6213
(337) 262-5616
(337) 262-4976
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1376
LA
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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