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Individual

MS. REBECCA PRUDHOMME HAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D., L.D.N., B.S.

Contact information

Practice address
15790 PAUL VEGA MD DR, FINANCE DEPARTMENT, HAMMOND, LA 70403-1434
(985) 230-6548
(985) 230-6563
Mailing address
PO BOX 2668, HAMMOND, LA 70404-2668
(985) 230-6548
(985) 230-6563

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2054
LA

Other

Enumeration date
10/07/2008
Last updated
10/07/2008
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