Individual
ELIZABETH EVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CLC
Contact information
Practice address
8740 BRENSTUHL PARK DR, BLACKLICK, OH 43004-7057
(301) 653-0324
Mailing address
8740 BRENSTUHL PARK DR, BLACKLICK, OH 43004-7057
(301) 653-0324
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86050924
—
133V00000X
Registered Dietitian
LD.08966
OH
Other
Enumeration date
04/18/2022
Last updated
02/27/2025
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