Individual
CAROLINE DEBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
15790 PAUL VEGA MD DR, REVENUE MANAGEMENT - CREDENTIALING, HAMMOND, LA 70403-1434
(985) 230-1682
(985) 230-1617
Mailing address
PO BOX 1609, HAMMOND, LA 70404-1609
(985) 230-6033
(985) 230-6652
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/24/2017
Last updated
04/19/2017
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