Individual
MRS. KRISTINE TERESE SCANLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN, MS
Contact information
Practice address
116 INTERSTATE PKWY, BRADFORD, PA 16701-1036
(814) 368-4143
Mailing address
24 ORCHARD PL, APT. 205, BRADFORD, PA 16701-1072
(330) 416-9635
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
6588
OH
133V00000X
Registered Dietitian
Primary
—
PA
Other
Enumeration date
09/21/2010
Last updated
08/17/2011
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