Organization
EATING DISORDER CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA FERGUS PONDER MS RD LDN (DIETITIAN - NUTRITIONIST)
(225) 925-5750
Entity
Organization
Contact information
Practice address
5329 DIJON DR, SUITE 103, BATON ROUGE, LA 70808-4378
(225) 925-5750
Mailing address
5329 DIJON DR, SUITE 103, BATON ROUGE, LA 70808-4378
(225) 925-5750
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1957
LA
Other
Enumeration date
04/16/2010
Last updated
04/16/2010
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