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ELIZABETH APPLEGATE RD

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1932334810

Individual Registrant:
 ELIZABETH  APPLEGATE RD
Gender: F
Sole Proprietor

Location and contact information for practice:
904 CHURCHMANS ROAD EXT  NEW CASTLE, DE 19720-3151 US
Tel: 302-323-1118  Fax: --

Contact information for business:
26 WINDING RD  NEWARK, DE 19702-8602 US
Tel: 302-368-3930  Fax: --

Registration Information:
NPI: 1932334810
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
DE884004

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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