Individual
MOLLIE BALKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDN
Contact information
Practice address
835 HOSPITAL ROAD, DIETITIAN, INDIANA, PA 15701-0788
(724) 357-7164
(724) 357-7247
Mailing address
835 HOSPITAL ROAD, PO BOX 788, INDIANA, PA 15701-0788
(724) 357-7009
(724) 357-7414
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN 002903
PA
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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