Provider Demographics
NPI:1912036229
Name:DANTONE, VIRGINIA JO (MS, RD, LDN,CDE)
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:JO
Last Name:DANTONE
Suffix:
Gender:F
Credentials:MS, RD, LDN,CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 RIVER OAKS DR
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-7100
Mailing Address - Country:US
Mailing Address - Phone:985-651-2342
Mailing Address - Fax:888-573-1919
Practice Address - Street 1:112 RIVER OAKS DR
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-7100
Practice Address - Country:US
Practice Address - Phone:985-651-2342
Practice Address - Fax:888-573-1919
Is Sole Proprietor?:No
Enumeration Date:2007-03-04
Last Update Date:2016-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1654133V00000X
MSD0298133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered