ZACK KIDD

SHREVEPORT, LA
NPI1477987576
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: LA  886)
Enumeration Date2013-08-26
Last Update Date2013-08-26
Business Address
-- ZACK KIDD RD
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-990-4084
Mailing Address
-- ZACK KIDD RD
886 OAK GROVE CHURCH RD
GIBSLAND, LA 71028-4594
Phone number: 940-255-9249
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