Individual
THOMAS W ELLSMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 S MERIDIAN RD, YOUNGSTOWN, OH 44509-2638
(704) 796-6455
Mailing address
50 S MERIDIAN RD, YOUNGSTOWN, OH 44509-2638
(704) 796-6455
Taxonomy
Speciality
Code
Description
License number
State
133VN1101X
Gerontological Nutrition Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0497130
—
OH
Enumeration date
07/26/2022
Last updated
07/26/2022
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