Organization
PRODIGY NUTRITIONAL CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTELLE DENISE JONES RD, LDN (DIRECTOR)
(225) 247-0074
Entity
Organization
Contact information
Practice address
5635 MAIN ST, STE A 238, ZACHARY, LA 70791-4083
(225) 247-0074
Mailing address
5635 MAIN ST, STE A 238, ZACHARY, LA 70791-4083
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
2070
LA
133V00000X
Registered Dietitian
Primary
2070
LA
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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