MRS. Rosannah M. Mack, RD,CD

NPI #1508924259 in Elkhart, Indiana

Provider Information

NPI Number: 1508924259
Entity Type: Individual
Name: MRS. Rosannah M. Mack, RD,CD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD,CD
Enumeration Date: Dec 5, 2006
Last Updated: Apr 9, 2009

Practice Location

Address: 600 EAST BLVD
Address 2: NUTRITION SERVICES DEPARTMENT
City: Elkhart
State: Indiana
ZIP Code: 46514-2483
Phone: (574) 523-3236

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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