Individual
MICHELE FRADELLA GERARVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 RIVER RD, JEFFERSON, LA 70121-4227
(504) 842-3901
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
133VN1301X
Oncology Nutrition Registered Dietitian
Primary
2557
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1058596
CDR
—
Enumeration date
08/23/2022
Last updated
07/23/2024
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