BLANCHE A. DELOACH

LAGRANGE, GA
NPI1477548576
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: GA  LD001278)
Enumeration Date2005-09-14
Last Update Date2007-07-08
Business Address
-- BLANCHE A. DELOACH RD, LD
122 GORDON COMMERCIAL DR
LAGRANGE, GA 30240-5740
Phone number: 706-845-4035
Mailing Address
-- BLANCHE A. DELOACH RD, LD
104 WILLOWCREST WAY
LAGRANGE, GA 30240-6316
Phone number: 706-845-4035