Individual
NICOLE LATOUR GASPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2315 E MAIN ST, NEW IBERIA, LA 70560-4031
(337) 364-0441
Mailing address
6604 FREMIN RD, NEW IBERIA, LA 70560-9149
(337) 364-0441
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
1402
LA
Other
Enumeration date
05/24/2007
Last updated
01/09/2008
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