Individual
MRS. MARYELLEN REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNLP, CFNC
Contact information
Practice address
306 GRAND LAKES DR, THIBODAUX, LA 70301-1611
(206) 755-0301
Mailing address
306 GRAND LAKES DR, THIBODAUX, LA 70301-1611
(206) 755-0301
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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