Individual
GINA ELLERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN, CNSC
Contact information
Practice address
700 LAWN AVE, SELLERSVILLE, PA 18960-1548
(215) 453-4633
Mailing address
700 LAWN AVE, SELLERSVILLE, PA 18960-1548
(215) 453-3094
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006276
PA
Other
Enumeration date
05/31/2019
Last updated
10/20/2021
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