Prodigy Nutritional Consulting, LLC

NPI #1912163783 in Zachary, Louisiana

Provider Information

NPI Number: 1912163783
Entity Type: Organization
Organization Name: Prodigy Nutritional Consulting, LLC
Primary Specialty: Dietitian, Registered
Enumeration Date: Jul 31, 2008
Last Updated: Jul 31, 2008

Practice Location

Address: 5635 MAIN ST
Address 2: STE A 238
City: Zachary
State: Louisiana
ZIP Code: 70791-4083
Phone: (225) 247-0074

Authorized Official

Name: CHANTELLE DENISE JONES, RD, LDN
Title: DIRECTOR
Phone: (225) 247-0074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X
Dietitian, Registered	133V00000X	Primary

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