Mollie Balko, LDN Valid NPI

Individual provider · Registered Dietitian · Indiana, PA

NPI

1477589265

Type

Individual (Type 1)

Primary specialty

Registered Dietitian (Dietitian, Registered)

Specialty group

Dietary & Nutritional Service Providers

Taxonomy code

133V00000X

License number

DN 002903 (PA)

Sex

Female

Sole proprietor

No

Enumerated

2006-06-23

Last updated

2007-07-08