Individual
MRS. DANETTE MARY KELSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,LDN
Contact information
Practice address
1125 MARGUERITE ST, MORGAN CITY, LA 70380-1855
(985) 380-4462
Mailing address
263 TERRA CANE DR, HOUMA, LA 70360-7171
(985) 637-3131
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1756
LA
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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