Individual
ELJEANA QUEBEDEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
902 S KADE, LAKE CHARLES, LA 70605-7189
(337) 302-0887
Mailing address
902 S KADE, LAKE CHARLES, LA 70605-7189
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
711
LA
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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