Individual
NANCY JOANNA WILBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
7015 HIGHWAY 190 EAST SERVICE RD, SUITE 200, COVINGTON, LA 70433-4960
(985) 234-3000
Mailing address
214 MACK LN, MADISONVILLE, LA 70447-9547
(985) 264-8834
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
1758
LA
133V00000X
Registered Dietitian
Primary
1758
LA
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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