Individual
LAURA SOUDANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS, LDN
Contact information
Practice address
1684 GREENVILLE TPKE, PORT JERVIS, NY 12771-3253
(845) 590-7926
Mailing address
1684 GREENVILLE TPKE, PORT JERVIS, NY 12771-3253
(845) 590-7926
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
DN009272
PA
Other
Enumeration date
09/17/2024
Last updated
12/01/2025
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