Individual
ELLEN P GANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN, CEDRD-S
Contact information
Practice address
1042 WASHINGTON ST, RALEIGH, NC 27605-1258
(919) 781-4500
Mailing address
5944 DUNBARTON WAY, RALEIGH, NC 27613-6856
(513) 293-8506
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LOO4531
NC
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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