Individual
ALICE CORLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LDN
Contact information
Practice address
10455 LINCOLN HWY, EVERETT, PA 15537-7046
(814) 624-4328
Mailing address
10455 LINCOLN HWY, EVERETT, PA 15537-7046
(814) 624-4328
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN000628
PA
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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