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Miss Juliette Shivers, NUTRIONPROFESSIONAL
Nutrition Education Nutritionist in Shreveport, Louisiana
NPI 1669414801

Juliette Shivers is a Nutrition Education Nutritionist based in Shreveport, LA and is specialized in Nutrition, Education. Juliette Shivers practices in Shreveport, LA and has the professional credentials of NUTRIONPROFESSIONAL. The NPI Number for Juliette Shivers is 1669414801 and holds a License No. (Louisiana).

The current practice location address for Juliette Shivers is 219 E Gregg St, Shreveport, LA and can be reached out via phone at 318-572-6157 and via fax at 800-708-7349.

Location: 219 E Gregg St, Shreveport, LA, 71104-5158
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Provider Profile Details
NPI Number
1669414801
Provider Name
Juliette Shivers
Credential
NUTRIONPROFESSIONAL
Provider Entity Type
Individual
Gender
Female
Address
219 E Gregg St, Shreveport, LA, 71104-5158
Phone Number
318-572-6157
Fax Number
800-708-7349
Provider Enumeration Date
06/12/2006
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0P21130 01 MI MEDICARE PART B PROVIDER
00696F 01 TX MEDICARE PART B PROVIDER
institution
Provider Business Practice Location Address Details
Address
219 E Gregg St
City
State
Zip
71104-5158
Phone Number
318-572-6157
Fax Number
800-708-7349
person
Provider Business Mailing Address Details
Address
219 E Gregg St
City
State
Zip
71104-5158
Phone Number
318-572-6157
Fax Number
800-708-7349
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Nutritionist
Speciality
Nutrition, Education
Taxonomy
License No.
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Definition
Definition to come...
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