Individual
MISS GWENDOLYN MICHELLE HOPPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDN,RD
Contact information
Practice address
152 KAYLA ST, SHREVEPORT, LA 71105-4212
(318) 834-2376
Mailing address
152 KAYLA ST, SHREVEPORT, LA 71105-4212
(318) 834-2376
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
953
LA
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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