VICKI M BLACKWELL

SHREVEPORT, LA
NPI1891763066
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: LA  363)
Enumeration Date2006-03-14
Last Update Date2007-07-16
Business Address
Mrs. VICKI M BLACKWELL MS,LDN,RD
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Mailing Address
Mrs. VICKI M BLACKWELL MS,LDN,RD
208 RIDGEFIELD DR
BOSSIER CITY, LA 71111-2369
Phone number: 318-747-7856