Individual
MS. MARY ELIZABETH MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LDN
Contact information
Practice address
22 CENTER ST APT E, FORTY FORT, PA 18704-5062
(570) 242-6162
Mailing address
22 CENTER ST APT E, FORTY FORT, PA 18704-5062
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
886730
NJ
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
06/14/2006
Last updated
10/01/2014
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