Individual
BEVERLY A RELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 E 80TH ST, INDIANAPOLIS, IN 46240-2558
(317) 679-8412
Mailing address
650 E 80TH ST, INDIANAPOLIS, IN 46240-2558
(317) 679-8412
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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