Individual
MRS. BIANCA PHILLICE COATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
120 HUNTINGTON DRIVE, LAFAYETTE, LA 70508
(337) 366-0216
Mailing address
9243 HIGHLAND OAKS AVENUE, ZACHARY, LA 70791
(337) 371-1207
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3047
LA
Other
Enumeration date
12/20/2020
Last updated
04/19/2023
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