Anita Rose Thedford

NPI 1740521772 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1740521772
Gender Female
Enumeration Date 03/15/2013
Last Updated 03/15/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
835 HILL ST
MANY LA, 71449-2517, US
Phone (318) 581-0301
Fax
Business Location
835 HILL ST
MANY LA, 71449-2517, US
Phone (318) 581-0301
Fax (318) 256-3555
Toxanomy
Taxonomy Code 133V00000X
License State Louisiana
License Number 800
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According to our database, Ms. Anita Rose Thedford NPI is 1740521772, taxonomy code is 133V00000X and license number is 800, license state is located at Louisiana. Anita Rose Thedford physically located at 835 Hill St, Many LA, 71449-2517. NPI Number Anita Rose Thedford has the Individual type.

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1740521772 NPI number is provided on an as is basis without warranty of any kind. 1740521772 is maintained by the National Plan & Provider Enumeration System. The contents of Anita Rose Thedford are for informational purposes only.