Individual
MRS. JACQUELINE NICOLE ELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.N
Contact information
Practice address
240 WELLNESS WAY, WASHINGTON, PA 15301-9697
(724) 250-5207
(724) 223-1297
Mailing address
240 WELLNESS WAY, WASHINGTON, PA 15301-9697
(724) 250-5207
(724) 223-1297
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004384
PA
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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