Individual
ESTELLE ANNE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
1201 HADLEY RD, MOORESVILLE, IN 46158-1737
(317) 831-1160
Mailing address
6860 PRINCESS LN, AVON, IN 46123-8933
(714) 673-7046
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37003974A
IN
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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