Individual
BREANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
1102 N PINE RD, OLLA, LA 71465-4804
(318) 495-3131
Mailing address
1102 N PINE RD, OLLA, LA 71465-4804
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1632
AR
133V00000X
Registered Dietitian
Primary
2724
LA
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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