Individual
MARY KAY A. D'ELIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN, CDE
Contact information
Practice address
425 ALDER ST UNIT 2, SCRANTON, PA 18505
(570) 880-7130
Mailing address
8 PEACHWOOD DRIVE, LAFLIN, PA 18702-7262
(570) 237-5758
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN001083
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019462370001
—
PA
05
—
0019462370004
—
PA
05
—
0019462370005
—
PA
05
—
1007678420040
—
PA
05
—
1007678420041
—
PA
05
—
1007678420042
—
PA
Enumeration date
08/13/2013
Last updated
03/14/2019
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