Individual
MS. TONI CHRISTINE ULLRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD/LD/N
Contact information
Practice address
1410 BLAINE ST, NEW CASTLE, PA 16105-2518
(724) 714-5698
Mailing address
1410 BLAINE ST, NEW CASTLE, PA 16105-2518
(724) 658-3912
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN001112
PA
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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