Individual
EMILY ULISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
429 MANOR DR STE 10, EBENSBURG, PA 15931-4917
(814) 472-6060
Mailing address
692 STUTZMAN RD, INDIANA, PA 15701-3642
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004628
PA
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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