Individual
LESLIE AMANDA GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2005 VETERANS MEMORIAL BLVD, METAIRIE, LA 70002-6320
(504) 842-4168
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3245
LA
Other
Enumeration date
05/05/2021
Last updated
07/02/2021
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