LISA MICHELLE ELLENBERGER

WOODSTOCK, GA
NPI1649809401
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: GA  LD004985)
Enumeration Date2020-04-03
Last Update Date2022-08-31
Business Address
LISA MICHELLE ELLENBERGER RD
316 LAKESTONE LNDG
WOODSTOCK, GA 30188-5428
Phone number: 678-360-5796
Mailing Address
LISA MICHELLE ELLENBERGER RD
316 LAKESTONE LNDG
WOODSTOCK, GA 30188-5428
Phone number:
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