Basic Information
| Provider Information | |||||||||
| NPI: | 1447726542 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ORMOND | ||||||||
| FirstName: | RENEE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3421 CONCORD RD | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174029001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178511405 | ||||||||
| FaxNumber: | 7178516969 | ||||||||
| Practice Location | |||||||||
| Address1: | 63 W CHURCH ST | ||||||||
| Address2: | |||||||||
| City: | STEVENS | ||||||||
| State: | PA | ||||||||
| PostalCode: | 175789203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177218795 | ||||||||
| FaxNumber: | 7173368284 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/17/2018 | ||||||||
| LastUpdateDate: | 10/17/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | DN006579 | PA | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.