Organization
FOOD PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARED ALEXIS (PRESIDENT)
(225) 806-3748
Entity
Organization
Contact information
Practice address
301 MAIN ST STE 2200, BATON ROUGE, LA 70801-0014
(225) 408-9415
(225) 208-1035
Mailing address
301 MAIN ST STE 2200, BATON ROUGE, LA 70801-0014
(225) 408-9415
(225) 208-1035
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
332U00000X
Home Delivered Meals
—
—
Other
Enumeration date
03/23/2022
Last updated
07/26/2022
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