Individual
ELAINE GREY ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD, LDN, CHC
Contact information
Practice address
1105 ISLAND PARK BLVD APT 723, SHREVEPORT, LA 71105-4768
(318) 470-9825
Mailing address
1105 ISLAND PARK BLVD APT 723, SHREVEPORT, LA 71105-4768
(318) 470-9825
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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