Individual
MRS. DONNA FOGLEMAN NELSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7714
(318) 330-7715
Mailing address
474 HIGHWAY 866, WINNSBORO, LA 71295-5562
(318) 435-6294
(318) 330-7715
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
604
LA
Other
Enumeration date
10/10/2005
Last updated
07/08/2007
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