Individual
MRS. DANA MARIE ELIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
15 BOX ELDER LN, WILLOW STREET, PA 17584-9605
(717) 917-5259
Mailing address
15 BOX ELDER LN, WILLOW STREET, PA 17584-9605
(717) 917-5259
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN001779
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00859033
COMMISSION ON DIETETIC REGISTRATION
—
01
—
DN001779
PA STATE LICENSE NUMBER
PA
Enumeration date
06/03/2011
Last updated
04/08/2014
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