Individual
GWENDOLYN SHELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
625 S DUKE ST, LANCASTER, PA 17602-4509
(717) 299-6371
Mailing address
304 N WATER ST, LANCASTER, PA 17603-3374
(717) 299-6372
(717) 325-8057
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
000747-1
NY
133V00000X
Registered Dietitian
Primary
DN007411
PA
Other
Enumeration date
12/30/2010
Last updated
07/14/2021
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