ELIZABETH BERGHOFF-GORDON

WABASH, IN
NPI1821443912
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IN  37000444A)
Enumeration Date2016-04-26
Last Update Date2017-01-26
Business Address
-- ELIZABETH BERGHOFF-GORDON R.D.
710 N EAST ST PARVIEW WABASH HOSPITAL
WABASH, IN 46992-1914
Phone number: 260-569-2362
Mailing Address
-- ELIZABETH BERGHOFF-GORDON R.D.
4445 W 100 N
BLUFFTON, IN 46714-9754
Phone number: 260-694-6828