Individual
AMANDA MARIE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
204 HOLIDAY DR, HOUMA, LA 70364-2644
(985) 381-3145
Mailing address
204 HOLIDAY DR, HOUMA, LA 70364-2644
(985) 381-3145
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3003
LA
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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