Individual
ELEANOR MACKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD/N
Contact information
Practice address
137 SALEM CT, TALLAHASSEE, FL 32301-2809
(850) 878-2363
Mailing address
3218 ORIOLE CT APT D, TALLAHASSEE, FL 32308-1579
(508) 410-0357
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6255
FL
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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