Individual
ASHLEY SHUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
433 PLAZA ST, BOGALUSA, LA 70427-3729
(985) 730-6970
Mailing address
433 PLAZA ST, BOGALUSA, LA 70427-3729
(985) 730-6970
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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