Individual
MARY KATHERINE MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
155 HOSPITAL DR, LAFAYETTE, LA 70503-2852
(337) 289-7999
Mailing address
320 ELMWOOD DR, LAFAYETTE, LA 70503-5218
(337) 303-8475
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1094705
LA
Other
Enumeration date
07/09/2020
Last updated
04/11/2023
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