Charlene Ellestad

NPI #1467725960 in Salem, Virginia

Provider Information

NPI Number
1467725960
Entity Type
Individual
Name
Charlene Ellestad
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Enumeration Date
Feb 14, 2012
Last Updated
Feb 14, 2012

Practice Location

Address
1900 ELECTRIC RD
City
Salem
ZIP Code
24153-7474
Phone
(540) 776-4567

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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