Individual
MRS. ELIZABETH G CHAMPAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1622 AGNES ST, BREAUX BRIDGE, LA 70517-3438
(337) 277-1069
(775) 248-9617
Mailing address
1622 AGNES ST, BREAUX BRIDGE, LA 70517-3438
(337) 277-1069
(775) 248-9617
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
298
LA
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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