Individual
MRS. ANN HABETZ BERGERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(333) 726-1611
(337) 261-6660
Mailing address
106 RYE CIR, SCOTT, LA 70583-4931
(337) 234-6432
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
765
LA
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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