Individual
LINDA L ELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2800 E AJO WAY, TUCSON, AZ 85713-6204
(520) 874-4135
(520) 874-7048
Mailing address
575 E RIVER RD, TUCSON, AZ 85704-5822
(520) 874-4135
(520) 874-7048
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
709300
DIETETIC REGISTRATION
—
Enumeration date
07/03/2006
Last updated
07/08/2007
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