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Individual

AMANDA L HODGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD - LDN

Contact information

Practice address
1325 LOUISVILLE AVE, MONROE, LA 71201-6021
(318) 807-1500
(318) 807-1504
Mailing address
130 DESIARD ST, SUITE 355, MONROE, LA 71201-7319
(318) 807-7875
(318) 812-6603

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2027
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2373587
LA
Enumeration date
08/09/2012
Last updated
03/13/2019
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