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Individual

MRS. JACQUELINE BROWN RICHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, LDN

Contact information

Practice address
524 DOCTOR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5725
(337) 436-2511
(337) 431-7860
Mailing address
524 DOCTOR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5725
(337) 436-2511
(337) 431-7860

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2116
LA

Other

Enumeration date
02/28/2011
Last updated
02/28/2011
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