Individual
CARYLL SUE DEFRATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LDN,CDE
Contact information
Practice address
550 W COLLEGE AVE, PLEASANT GAP, PA 16823-7401
(814) 359-3421
Mailing address
550 W COLLEGE AVE, PLEASANT GAP, PA 16823-7401
(814) 359-3421
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
081011802
PA
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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