Individual
JENNIFER E AUTHEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
524 S RYAN ST, LAKE CHARLES, LA 70601-5725
(337) 431-7825
Mailing address
3850 BROOKEFLOWER CIRCLE N, LAKE CHARLES, LA 70605
(337) 474-7244
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
1924
LA
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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