Individual
MRS. CELIA RENE BRIDGEFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPA, RD, LDN
Contact information
Practice address
24705 PLAZA DR, PLAQUEMINE, LA 70764-6827
(225) 687-9021
(225) 687-1892
Mailing address
24705 PLAZA DR, PLAQUEMINE, LA 70764-6827
(225) 687-9021
(225) 687-1892
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
2077
LA
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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