Individual
MS. BREA ANGELE DOMINIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
408 RUE DE CYPRESS, THIBODAUX, LA 70301-6932
(985) 226-4176
Mailing address
408 RUE DE CYPRESS, THIBODAUX, LA 70301-6932
(985) 226-4176
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3207
LA
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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