Individual
CANDACE T PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
52579 HIGHWAY 51 S, INDEPENDENCE, LA 70443-2231
(985) 878-1337
Mailing address
52579 HIGHWAY 51 S, INDEPENDENCE, LA 70443-2231
(985) 878-1337
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1808
LA
Other
Enumeration date
10/11/2006
Last updated
02/10/2009
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