Individual
DONNA M PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA, RDN, LDN
Contact information
Practice address
214 MACK LN, MADISONVILLE, LA 70447-9547
(985) 264-8334
Mailing address
1037 NURSERY AVE, METAIRIE, LA 70005-2321
(504) 258-0904
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
431
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255712410
—
LA
Enumeration date
08/21/2017
Last updated
08/21/2017
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