Individual
JESSICA FREDERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2432 CUMBERLAND CT, NEW ORLEANS, LA 70131-1945
(504) 231-6878
Mailing address
2432 CUMBERLAND CT, NEW ORLEANS, LA 70131-1945
(504) 231-6878
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1106712
LA
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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