Individual
MOLLY ELIZABETH LISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
36 DULANY CT, STERLING, VA 20165-5692
(317) 509-9108
Mailing address
8810 CALUMET DR, INDIANAPOLIS, IN 46236-9031
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86130097
IN
Other
Enumeration date
01/16/2020
Last updated
09/29/2021
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