MARY A CLAVELLE

ZACHARY, LA
NPI1750721403
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: LA  1147)
Enumeration Date2013-06-26
Last Update Date2014-01-06
Business Address
-- MARY A CLAVELLE RD, LDN
6351 MAIN ST
ZACHARY, LA 70791-4038
Phone number: 225-306-2000
Mailing Address
-- MARY A CLAVELLE RD, LDN
PO BOX 770
ZACHARY, LA 70791-0770
Phone number: 225-306-2000