Organization
KEYSTONE PARTNERS, LLC
Active
Other names
KEY STONE PARTNERS, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER JACKSON RD,LDN (NUTRITION CONSULTANT)
(337) 356-2244
Entity
Organization
Contact information
Practice address
101 VINEMONT DR, LAFAYETTE, LA 70501-6579
(337) 356-2244
Mailing address
101 VINEMONT DR, LAFAYETTE, LA 70501-6579
(337) 356-2244
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2522
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
263006389
TAX ID 263006389
LA
Enumeration date
11/10/2014
Last updated
11/20/2014
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