Individual
CANDACE MIRE DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 466-2417
Mailing address
5612 SARAH CONSTANT CT, ALEXANDRIA, LA 71303-2350
(318) 229-2780
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1919
LA
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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