STEPHANIE DYAN TARVER

SHREVEPORT, LA
NPI1972859973
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: LA  832710)
Additional Taxonomies133NN1002X Nutritionist, Nutrition, Education
(Licence: LA  1313)
Enumeration Date2012-07-27
Last Update Date2012-07-27
Business Address
Ms. STEPHANIE DYAN TARVER LDN,RD
1035 CRESWELL AVE
SHREVEPORT, LA 71101-3917
Phone number: 318-676-5159
Mailing Address
Ms. STEPHANIE DYAN TARVER LDN,RD
1525 FAIRFIELD AVE RM. 569
SHREVEPORT, LA 71101-4300
Phone number: 318-676-7473