Individual
MALLORY MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
1102 N PINE RD, OLLA, LA 71465-4804
(318) 495-3131
(318) 495-3229
Mailing address
1809 E GEORGIA AVE, RUSTON, LA 71270-4062
(318) 471-8898
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2588
LA
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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