Individual
JILL BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.,L.D.N.
Contact information
Practice address
18811 LA HIGHWAY 42, LIVINGSTON, LA 70754-4039
(225) 571-2126
(225) 686-1782
Mailing address
18811 LA HIGHWAY 42, LIVINGSTON, LA 70754-4039
(225) 571-2126
(225) 686-1782
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2385
LA
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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