Individual
MS. ELLEN S. SISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. R.D.
Contact information
Practice address
1601 KIRKWOOD HIGHWAY, WILMINGTON VA MEDICAL CENTER, WILMINGTON, DE 19805
(302) 994-2511
(302) 633-5443
Mailing address
778 RATTLING ROAD, MICKLETON, NJ 08056
(856) 241-9624
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
386353
—
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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