Individual
MR. TANNER PAUL GUILLOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
1410 TIGER DR, THIBODAUX, LA 70301-4337
(985) 227-9445
Mailing address
2950 HIGHWAY 1, LABADIEVILLE, LA 70372-2403
(985) 959-2533
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86341949
LA
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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