Individual
ELISE BORETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1101X
Gerontological Nutrition Registered Dietitian
—
—
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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