Organization
NOVEL NUTRITION SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN SMITH RDN, LDN (AGENT)
(337) 322-6778
Entity
Organization
Contact information
Practice address
315 RUE LOUIS XIV, LAFAYETTE, LA 70508-5734
(337) 269-9777
Mailing address
622 SAINT PATRICK ST, LAFAYETTE, LA 70506-4420
(337) 322-6778
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2566
LA
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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