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Individual

JULIE HARTLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D., L.D.N, H.C

Contact information

Practice address
10017 COMMANDER DR, SHREVEPORT, LA 71106-8403
(318) 795-9905
(318) 795-9905
Mailing address
10017 COMMANDER DR, SHREVEPORT, LA 71106-8403
(318) 795-9905
(318) 795-9905

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
1178
LA
133V00000X
Registered Dietitian
Primary
1178
LA
133VN1004X
Pediatric Nutrition Registered Dietitian
1178
LA

Other

Enumeration date
09/02/2010
Last updated
09/02/2010
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