Individual
MISS SVETLANA GAVRILOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED., RD, LDN, CDCES
Contact information
Practice address
512 COMANCHE TRL, WEST MONROE, LA 71291-8114
(318) 953-7052
Mailing address
512 COMANCHE TRL, WEST MONROE, LA 71291-8114
(318) 953-7052
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1391
LA
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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