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Organization
CAROLYN DANNER-BLISS PEDIATRIC DIETITIAN SERVICES, LLC
Active
Organization
CAROLYN DANNER-BLISS PEDIATRIC DIETITIAN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN ANN BLISS RD, LDN (REGISTERED DIETITIAN)
(814) 882-7111
Entity
Organization
Contact information
Practice address
5105 COVENTRY DRIVE, ERIE, PA 16506
(814) 882-7111
Mailing address
5105 COVENTRY DRIVE, ERIE, PA 16506
(814) 882-7111
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN001195
PA
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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