Individual
JESSICA L MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
2899 SUGARLOAF DR TRLR 188, LAKE CHARLES, LA 70607-7555
(337) 397-2953
Mailing address
2899 SUGARLOAF DR TRLR 188, LAKE CHARLES, LA 70607-7555
(337) 397-2953
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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