Individual
JACQUELYN HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23455 SPARROW RD, MANDEVILLE, LA 70448-7378
(985) 626-6543
Mailing address
23455 SPARROW RD, MANDEVILLE, LA 70448-7378
(985) 626-6543
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
964
LA
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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