Individual
MS. STACEY DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDN, RD
Contact information
Practice address
386 MAIN ST, MOREAUVILLE, LA 71355-2504
(337) 258-9650
Mailing address
386 MAIN ST, MOREAUVILLE, LA 71355-2504
(337) 258-9650
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1290
LA
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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