Individual
SUSAN D MILLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10488 LEO MIZELL RD, BOGALUSA, LA 70427-0922
(985) 732-6041
Mailing address
10488 LEO MIZELL RD, BOGALUSA, LA 70427-0922
(985) 732-6041
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1061
LA
Other
Enumeration date
06/23/2009
Last updated
09/29/2009
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