| Community Diabetes And Nutrition Services, Llc | |
|
200 Main St, Suite L4, Blakely, PA 18447-1241 | |
| (570) 604-6677 | |
| (570) 307-4220 |
| Full Name | Community Diabetes And Nutrition Services, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 200 Main St, Blakely, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609253301 | NPI | - | NPPES |
| 1306930847 | Other | PA | BLUE CROSS OF NORTHEAST PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DN000285 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Community Diabetes And Nutrition Services, Llc 200 Main St, Suite L4, Blakely, PA 18447-1241 Ph: (570) 604-6677 | Community Diabetes And Nutrition Services, Llc 200 Main St, Suite L4, Blakely, PA 18447-1241 Ph: (570) 604-6677 |
Marie T. Ratchford-demkosky, MS, RD, LDN,CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 Main St, Suite L4, Blakely, PA 18447 Phone: 570-604-6677 Fax: 570-307-4220 | |
Mrs. Marlee Lynn Stefanelli, MS, LPC, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1714 Main St, Blakely, PA 18447 Phone: 570-954-7181 Fax: 570-489-1464 | |
Kate Conklin, Registered Dietitian, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 321 1st St, Blakely, PA 18447 Phone: 860-833-7162 |