Individual
MRS. JESSICA MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LDN, RD
Contact information
Practice address
DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER, 2495 SHREVEPORT HWY, PINEVILLE, LA 71360
(318) 473-0010
Mailing address
DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER, PO BOX 69004, ALEXANDRIA, LA 71306-9004
(318) 473-0010
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1765
LA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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