Individual
ASHLEY BERTAUT STICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
(504) 703-5328
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 703-5328
(504) 842-3689
Taxonomy
Speciality
Code
Description
License number
State
133VN1301X
Oncology Nutrition Registered Dietitian
Primary
2738
LA
Other
Enumeration date
06/24/2020
Last updated
10/01/2020
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