Individual
MISS ELISABETH ANN HORTENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-4752
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-4752
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
995395
IN
Other
Enumeration date
10/06/2010
Last updated
01/26/2012
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