ALICIA RUDDOCK ROURK

LAFAYETTE, LA
NPI1003174806
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: LA  1259)
Enumeration Date2012-04-30
Last Update Date2012-04-30
Business Address
ALICIA RUDDOCK ROURK RD, LDN
2390 W CONGRESS ST
LAFAYETTE, LA 70506-4205
Phone number: 337-261-6113
Mailing Address
ALICIA RUDDOCK ROURK RD, LDN
2390 W CONGRESS ST
LAFAYETTE, LA 70506-4205
Phone number: 337-261-6113