Individual
MS. AMANDA E. BOURGEOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2401 VETERANS MEMORIAL BLVD, KENNER, LA 70062-4730
(504) 472-6130
Mailing address
3912 DAVID DR, METAIRIE, LA 70003-3419
(504) 952-9965
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2663
LA
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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