Most Relevant Information
Provider Data
| NPI Number: | 1003362872 |
| Provider Name: | ROSA CORI ANDERSON REGISTERED DIETITIAN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/31/2016 |
| Last Updated: | 08/31/2016 |
Provider Practice Location
1501 IRVING PLACE
SHREVEPORT
LA
711014604
Practice Location Phone/Fax
| Phone: | 3182121194 |
| Fax: | 3182121196 |
Provider Mailing Location
P.O. BOX 1684
SHREVEPORT
LA
711651684
Provider Mailing Phone/Fax
| Phone: | 3182121194 |
| Fax: | 3182121196 |