Most Relevant Information
Provider Data
| NPI Number: | 1003346883 |
| Provider Name: | CYNTHIA BRANTLY RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 1158 |
Most Important Dates
| Enumeration Date: | 06/14/2017 |
| Last Updated: | 06/11/2019 |
Provider Practice Location
1325 LOUISVILLE AVE
MONROE
LA
712016021
Practice Location Phone/Fax
| Phone: | 3188071500 |
| Fax: | 3188071504 |
Provider Mailing Location
130 DESIARD ST STE 355
MONROE
LA
712017363
Provider Mailing Phone/Fax
| Phone: | 3188077875 |
| Fax: | 3188126603 |