Individual
SHENEDA L JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
111 N CAUSEWAY BLVD, METAIRIE, LA 70001-5450
(504) 838-5100
(504) 838-5104
Mailing address
21 DAUTERIVE CT, KENNER, LA 70065-2478
(504) 473-1106
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1730
LA
Other
Enumeration date
04/16/2009
Last updated
07/16/2012
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