Individual
COVANIQUE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
8000 SUMMA AVE, BATON ROUGE, LA 70809-3423
(225) 906-4894
Mailing address
8000 SUMMA AVE, BATON ROUGE, LA 70809-3423
(225) 906-4894
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2602
LA
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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