Individual
MRS. LAURA DELFAUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S,, R.D., L.D.
Contact information
Practice address
176 OTTLEY DR NE, ATLANTA, GA 30324-3925
(303) 521-2188
Mailing address
176 OTTLEY DR NE, ATLANTA, GA 30324-3925
(303) 521-2188
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003886
GA
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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