Individual
AMY LYNN MACKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 TRAILSIDE CT, CORAOPOLIS, PA 15108-9169
(412) 916-4890
Mailing address
114 TRAILSIDE CT, CORAOPOLIS, PA 15108-9169
(412) 916-4890
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN002704
PA
Other
Enumeration date
01/17/2008
Last updated
01/17/2008
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