Organization
NUTRITION RXD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY PANTALONE (AUTHORIZED DELEGATE)
(844) 473-2455
Entity
Organization
Contact information
Practice address
737 PAUL MAILLARD ROAD, LULING, LA 70070
(985) 306-9003
Mailing address
121 KERRY'S POINTE, DES ALLEMANDS, LA 70030
(985) 306-9003
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2359
LA
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
About Stedi
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