Individual
MRS. MONICA LYNN GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
825 KALISTE SALOOM RD, BRANDYWINE 3; SUITE 100, LAFAYETTE, LA 70508-4284
(337) 262-2271
Mailing address
102 PINTAIL DR, LAFAYETTE, LA 70507-4948
(337) 234-3469
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
130
LA
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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