Individual
ELLEN WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 W STATE ST STE C, WEST LAFAYETTE, IN 47906-3438
(765) 494-0111
Mailing address
3909 JOHN ADAMS RD, LAFAYETTE, IN 47909-3551
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002158A
IN
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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