Individual
TARA GAUBERT LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
600 POLK ST, HOUMA, LA 70360-4154
(985) 857-3601
(985) 857-3607
Mailing address
154 AUTUMN DR, HOUMA, LA 70360-6089
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1595
LA
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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