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Individual

LESLIE CARR ELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LDN, CEDRD

Contact information

Practice address
6263 POPLAR AVE STE 605, MEMPHIS, TN 38119-4724
(901) 343-6146
Mailing address
6263 POPLAR AVE STE 605, MEMPHIS, TN 38119-4724

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2767
TN

Other

Enumeration date
09/17/2018
Last updated
09/17/2018
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