TABITHA NICHOLAS

LAKE CHARLES, LA
NPI1407175888
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: LA  2038)
Additional Taxonomies133NN1002X Nutritionist, Nutrition, Education
(Licence: LA  2038)
133VN1005X Dietitian, Registered, Nutrition, Renal
(Licence: LA  2038)
Enumeration Date2010-05-24
Last Update Date2021-11-11
Business Address
TABITHA NICHOLAS M.S., RD, LDN
114 STATE ST
LAKE CHARLES, LA 70605-5718
Phone number: 337-419-0942
Mailing Address
TABITHA NICHOLAS M.S., RD, LDN
3201 FLATWOOD DR
LAKE CHARLES, LA 70607-4324
Phone number: 337-419-0942