Individual
MISS TRACY L MCCULLOUGH-WILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1339 ELLIS MILL RD, MULLICA HILL, NJ 08062-4431
(609) 760-8950
(856) 417-3432
Mailing address
1339 ELLIS MILL RD, MULLICA HILL, NJ 08062-4431
(609) 760-8950
(856) 417-3432
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
804997
PA
Other
Enumeration date
05/07/2010
Last updated
05/07/2010
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