Individual
LESLIE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15790 PAUL VEGA MD DR, NUTRITIONAL SERVICES, HAMMOND, LA 70403-1434
(985) 230-6548
(985) 230-7080
Mailing address
PO BOX 2668, HAMMOND, LA 70404-2668
(985) 230-6548
(985) 230-7080
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2323
LA
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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