Individual
MICHELLE R NEIDERHISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
210 BARRON RD, LIGONIER, PA 15658-3601
(724) 713-2817
Mailing address
210 BARRON RD, LIGONIER, PA 15658-3601
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
807479
PA
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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