Organization
WELL NOURISHED NUTRITION THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WILHITE RDN (MANAGER)
(318) 460-0455
Entity
Organization
Contact information
Practice address
4586 CAMBRIDGE CIR, SHREVEPORT, LA 71107-3534
(318) 460-0455
Mailing address
4586 CAMBRIDGE CIR, SHREVEPORT, LA 71107-3534
(318) 460-0455
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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