Individual
MRS. LESLIE ANDERSON PETROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDN,RD
Contact information
Practice address
701 EAST CYPRESS ST, SULPHUR, LA 70663-5053
(337) 527-4282
(337) 527-4127
Mailing address
4316 EVELYN GAY LANE, SULPHUR, LA 70664
(337) 558-5586
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1421
LA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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