Individual
HANNALORE STANTON MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
855 DAVIS AVE E, BLDG 6603, BARKSDALE AFB, LA 71110
(580) 213-6754
Mailing address
855 DAVIS AVE E, BLDG 6603, BARKSDALE AFB, LA 71110
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3825
LA
Other
Enumeration date
01/06/2022
Last updated
03/04/2025
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