Individual
MARYELLEN RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
101 WASHINGTON ST, LEARNING INSTITUTE, HARRISBURG, PA 17104-1675
(717) 221-6258
(717) 221-6266
Mailing address
409 S 2ND ST, FIRST FLOOR, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
DN001201
PA
133V00000X
Registered Dietitian
Primary
436344
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102106360
—
PA
Enumeration date
06/13/2006
Last updated
03/29/2017
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