Provider Demographics
NPI:1255005344
Name:DANIGOLE, ROSETTA (LDN RD)
Entity Type:Individual
Prefix:
First Name:ROSETTA
Middle Name:
Last Name:DANIGOLE
Suffix:
Gender:F
Credentials:LDN RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5004 PAGE ST
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-4913
Mailing Address - Country:US
Mailing Address - Phone:504-453-3730
Mailing Address - Fax:
Practice Address - Street 1:3100 GALLERIA DR
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-2196
Practice Address - Country:US
Practice Address - Phone:877-691-3001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered