Individual
MACKENNA NICOLE CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
4450 OAKHURST BLVD, HARRISBURG, PA 17110-3452
(717) 788-5405
Mailing address
347 EDGEWOOD RD, YORK, PA 17402-4202
(717) 781-3355
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN008225
PA
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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