Individual
ELLEN GLORIA EVANS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
111 COLCHESTER AVE, FLETCHER ALLEN HEALTH CARE, BURLINGTON, VT 05401
(802) 847-1400
Mailing address
PO BOX 1063, FAHC, BURLINGTON, VT 05402-1063
(802) 847-1400
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0740000195
VT
Other
Enumeration date
02/08/2006
Last updated
07/08/2007
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