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Organization

MY FOOD COACH

Active
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Organization

MY FOOD COACH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DAPHNE OLIVIER LDN, RD, CDE (DIETITIAN, DIABETES EDUCATOR, OWNER)
(337) 296-1628
Entity
Organization

Contact information

Practice address
412 TRAVIS ST, OFFICE 121, LAFAYETTE, LA 70503-2432
(337) 296-1628
(337) 442-6374
Mailing address
1011 RUE BOIS DE CHENE, BREAUX BRIDGE, LA 70517-6735
(337) 296-1628
(337) 442-6374

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
1909
LA

Other

Enumeration date
11/24/2010
Last updated
11/24/2010
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