Individual
CARISA ISHIMARU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
135 E 38TH ST, ERIE, PA 16504-1559
(814) 860-2956
(814) 860-2111
Mailing address
PO BOX 8366, ERIE, PA 16505-0366
(562) 810-0757
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004093
PA
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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