Individual
JUICHIA LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 BELL RICHARD AVE, FORT POLK, LA 71459-3513
(571) 595-8579
Mailing address
112 BELL RICHARD AVE, FORT POLK, LA 71459-3513
(571) 595-8579
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4136
LA
Other
Enumeration date
02/21/2026
Last updated
02/21/2026
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