Individual
VIVIAN DALE SKAINS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
309 JACKSON ST, MONROE, LA 71201-7407
(318) 327-4000
Mailing address
416 PEBBLE DR, JONESBORO, LA 71251-5100
(318) 259-1204
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
642
LA
Other
Enumeration date
09/14/2005
Last updated
07/08/2007
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