Individual
REBECCA KOLLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DIETITIAN
Contact information
Practice address
15790 PAUL VEGA MD DR, NUTRITIONAL SERVICES, HAMMOND, LA 70403-1434
(985) 230-6618
(985) 230-7080
Mailing address
PO BOX 1609, HAMMOND, LA 70404-1609
(985) 230-3653
(985) 370-7409
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2502
LA
Other
Enumeration date
03/24/2017
Last updated
04/25/2017
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