Stacey Pardue, PT

NPI #1376096636 in Monroe, Louisiana

Provider Information

NPI Number: 1376096636
Entity Type: Individual
Name: Stacey Pardue, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: PT
Enumeration Date: Aug 3, 2016
Last Updated: Aug 3, 2016

Practice Location

Address: 1325 LOUISVILLE AVE
City: Monroe
State: Louisiana
ZIP Code: 71201-6021
Phone: (318) 807-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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