Individual
MS. JEANNETTE ELIZABETH ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDN RD CDE
Contact information
Practice address
1202 S TYLER STREET, COVINGTON, LA 70433
(985) 898-4000
(985) 898-3778
Mailing address
298 CINDY LOU PLACE, MANDEVILLE, LA 70448
(985) 626-0128
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
348
LA
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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