Individual
LEANNE ELAINE GONCALVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.,L.D.
Contact information
Practice address
4365 COUNTY ROAD 24, MOUNT GILEAD, OH 43338-9597
(419) 560-5097
(419) 946-3408
Mailing address
4365 COUNTY ROAD 24, MOUNT GILEAD, OH 43338-9597
(419) 560-5097
(419) 946-3408
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD 1244
OH
Other
Enumeration date
05/16/2009
Last updated
05/16/2009
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