Cornetta, Mary Dale

Cornetta, Mary Dale is an individual health care provider with primary practice located at 309 Jackson St , Monroe LA 71201-7407. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Cornetta, Mary Dale can be contacted via phone (318) 327-4072.

Contact Information

Primary practice address
309 Jackson St Monroe LA 71201-7407
Phone: (318) 327-4072
Fax: (318) 327-4941
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1735 Louisiana

Profile Details

NPI number 1134114242
LBN Legal business name Cornetta, Mary Dale
Credentials LDN, RD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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