KELLY SORACCO

FORT WAYNE, IN
NPI1407466766
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IN  37001137A)
Enumeration Date2020-08-03
Last Update Date2020-08-31
Business Address
KELLY SORACCO RDN
1234 E DUPONT RD STE 3
FORT WAYNE, IN 46825-1545
Phone number: 260-425-5970
Mailing Address
KELLY SORACCO RDN
11109 PARKVIEW PLAZA DRIVE MAILBOX 117
FORT WAYNE, IN 46845-1701
Phone number: 260-266-8210