Elise Fultonberg, R.D.

NPI #1124285457 in Superior, Colorado

Provider Information

NPI Number: 1124285457
Entity Type: Individual
Name: Elise Fultonberg, R.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: R.D.
Enumeration Date: May 22, 2008
Last Updated: May 22, 2008

Practice Location

Address: 1009 MONARCH WAY
City: Superior
State: Colorado
ZIP Code: 80027-8183
Phone: (303) 956-7013

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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