Individual
MARY A CLAVELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
6351 MAIN ST, ZACHARY, LA 70791-4038
(225) 306-2000
Mailing address
PO BOX 770, ZACHARY, LA 70791-0770
(225) 306-2000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1147
LA
Other
Enumeration date
06/26/2013
Last updated
01/06/2014
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