Individual
MADELINE RAE MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, RDN
Contact information
Practice address
548 BERTOLET MILL RD, OLEY, PA 19547-8621
(602) 770-7611
Mailing address
548 BERTOLET MILL RD, OLEY, PA 19547-8621
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86242607
—
133V00000X
Registered Dietitian
L006982
NC
Other
Enumeration date
10/14/2022
Last updated
10/19/2022
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