Ellen Joyce Ellingsworth, MS, RD, CD
NPI #1720590763 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1720590763
- Entity Type
- Individual
- Name
- Ellen Joyce Ellingsworth, MS, RD, CD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- MS, RD, CD
- Enumeration Date
- Oct 31, 2017
- Last Updated
- Oct 31, 2017
Practice Location
- Address
- 707 S UNIVERSITY AVE
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-3027
- Phone
- (920) 887-5922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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