Individual
MARIE T. RATCHFORD-DEMKOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN,CDE
Contact information
Practice address
200 MAIN ST, SUITE L4, BLAKELY, PA 18447-1241
(570) 604-6677
(570) 307-4220
Mailing address
200 MAIN ST, SUITE L4, BLAKELY, PA 18447-1241
(570) 604-6677
(570) 307-4220
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN000285
PA
Other
Enumeration date
10/02/2006
Last updated
05/22/2015
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