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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