Individual
MCKENNA MARY GRAYCE ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 9TH AVE STE 2B, ALTOONA, PA 16602-2014
(814) 208-9937
Mailing address
1105 MEADOW ST, ALTOONA, PA 16602-6316
(814) 937-7315
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006348
PA
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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