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Organization

DESIRAE NICOLE NUTRITION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DESIRAE BEDGOOD RDN, LDN (REGISTERED DIETITIAN)
(318) 200-0491
Entity
Organization

Contact information

Practice address
1500 N 19TH ST, MONROE, LA 71201-4942
(318) 200-0491
Mailing address
1500 N 19TH ST, MONROE, LA 71201-4942

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
03/31/2022
Last updated
03/31/2022
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