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Individual

ANGELA CAROL CEMO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPH, LDN, RD, CDE

Contact information

Practice address
2817 RIVER RD, UNIT C, JEFFERSON, LA 70121-4168
(504) 301-2555
Mailing address
2817 RIVER RD, UNIT C, JEFFERSON, LA 70121-4168
(504) 301-2555

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
835
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4H071
MEDICARE, PART B CARRIER
LA
Enumeration date
06/17/2009
Last updated
06/17/2009
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