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Individual

MRS. MARY ELIZABETH T. KNIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D., L.D.N.

Contact information

Practice address
433 PLAZA ST, BOGALUSA, LA 70427-3729
(985) 730-6895
Mailing address
48117 HIGHWAY 16, FRANKLINTON, LA 70438-4109
(985) 730-6895

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
258
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
258
LDA LICENSE
LA
Enumeration date
06/28/2007
Last updated
07/08/2007
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