Terri P Elisberg, R.D.,L.D.,C.D.E.
Dietitian, Registered in Tijeras, NM. Individual provider (NPI-1).
NPI number1881865558
StatusActive
Last updated in NPPESNov 2, 2011
Details
- NPI
- 1881865558
- Entity type
- Individual (NPI-1)
- Name
- Terri P Elisberg
- Credential
- R.D.,L.D.,C.D.E.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2008
- Last updated
- Nov 2, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 059 | NM | Yes |
Practice location
47 Villacitos RdTijeras, NM 87059-6601
Phone 505-450-9961
Mailing address
Po Box 998Tijeras, NM 87059
Phone 505-450-9961
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