Organization
NICHOLAS NUTRITION & OPTIMAL WELLNESS NOW
Active
Other names
Dietitians In Home
Organization subpart
No
Provider details
NPI number
Authorized official
TABITHA NICHOLAS MS, RDN, LDN (REGISTERED DIETITIAN/OWNER)
(337) 419-0942
Entity
Organization
Contact information
Practice address
114 STATE ST, LAKE CHARLES, LA 70605-5718
(337) 419-0942
(337) 314-1243
Mailing address
3201 FLATWOOD DR, LAKE CHARLES, LA 70607-4324
(337) 419-0942
(337) 314-1243
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
11/11/2021
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