Individual
MARY W. LEABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
6407 LOUISVILLE ST, NEW ORLEANS, LA 70124-3139
(225) 907-7980
Mailing address
6407 LOUISVILLE ST, NEW ORLEANS, LA 70124-3139
(225) 907-7980
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
1865
LA
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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