Individual
MS. SHAINA CELESTE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1801 OAK PARK BLVD, LAKE CHARLES, LA 70601-8900
(337) 494-6425
(337) 430-6959
Mailing address
124 JERRY ROAD, P.O. BOX 287, LACASSINE, LA 70650
(337) 588-4941
(337) 588-4941
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1675
LA
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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