Doctor Name: | FELICIA LATRECE TAYLOR |
NPI Number: | 1790088706 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 1096 |
Business Practice Address: | 510 E Stoner Ave Shreveport, LA - 711014243 |
Business Phone Number: | 3182218411 |
Business Fax Number: | |
Mailing Address: | Po Box 6363, SHREVEPORT |
State: | LA |
Postal Code: | 711366363 |
Phone Number: | 3187734587 |
Fax Number: | 3186717490 |
NPI Enumeration Date: | 12/13/2010 |
NPI Last Update Date: | 12/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1096 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |