Individual
MISS ELENA WHITNEY BENEZECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.N.
Contact information
Practice address
1850 GAUSE BLVD E, SUITE 202, SLIDELL, LA 70461-5442
(985) 661-3542
Mailing address
1850 GAUSE BLVD E STE 202, SLIDELL, LA 70461-5455
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2337
LA
Other
Enumeration date
02/13/2015
Last updated
03/23/2016
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