Individual
AMANDA ETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
10 HIGH ST, STE. 105, LEWISTON, ME 04240-7653
(207) 795-5710
(207) 795-2559
Mailing address
10 HIGH ST, STE. 105, LEWISTON, ME 04240-7653
(207) 795-5710
(207) 795-2559
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
TD1124
ME
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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