Organization
HOUMA NUTRITION CONSULTING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GIBSON (OWNER)
(985) 262-9770
Entity
Organization
Contact information
Practice address
210 MYSTIC BLVD STE C, HOUMA, LA 70360-2762
(985) 262-9770
Mailing address
204 HOLIDAY DR, HOUMA, LA 70364-2644
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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