Individual
KATHRYNE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CN
Contact information
Practice address
112 STOCKTON BLVD, SEA GIRT, NJ 08750-3225
(732) 449-0076
(732) 449-7116
Mailing address
112 STOCKTON BLVD, SEA GIRT, NJ 08750-3225
(732) 449-0076
(732) 449-7116
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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