KELLI DOMINICK

VIVIAN, LA
NPI1346555703
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: TX  DT05308)
Additional Taxonomies133N00000X Nutritionist
(Licence: TX  DT05308)
133N00000X Nutritionist
(Licence: LA  1270)
133NN1002X Nutritionist, Nutrition, Education
(Licence: TX  DT05308)
133NN1002X Nutritionist, Nutrition, Education
(Licence: LA  1270)
133V00000X Dietitian, Registered
(Licence: LA  1270)
133VN1004X Dietitian, Registered, Nutrition, Pediatric
(Licence: TX  DT05308)
133VN1004X Dietitian, Registered, Nutrition, Pediatric
(Licence: LA  1270)
133VN1005X Dietitian, Registered, Nutrition, Renal
(Licence: TX  DT05308)
133VN1005X Dietitian, Registered, Nutrition, Renal
(Licence: LA  1270)
133VN1006X Dietitian, Registered, Nutrition, Metabolic
(Licence: TX  DT05308)
133VN1006X Dietitian, Registered, Nutrition, Metabolic
(Licence: LA  1270)
Enumeration Date2010-08-10
Last Update Date2010-08-10
Business Address
Mrs. KELLI DOMINICK M.Ed., LD, RD, CDE
712 S CYPRESS ST
VIVIAN, LA 71082-3206
Phone number: 318-375-2356
Mailing Address
Mrs. KELLI DOMINICK M.Ed., LD, RD, CDE
712 S CYPRESS ST
VIVIAN, LA 71082-3206
Phone number: 318-375-2356
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