| Doctor Name: | MRS. EMILEE PACK |
| NPI Number: | 1780993261 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, LD, CDE |
| License Number: | 790 |
| Business Practice Address: | 202 Maplewood Ave Ronceverte, WV - 249701334 |
| Business Phone Number: | 3047933545 |
| Business Fax Number: | |
| Mailing Address: | 17768 Friars Hill Rd, FRANKFORD |
| State: | WV |
| Postal Code: | 249389605 |
| Phone Number: | 3044973751 |
| Fax Number: | |
| NPI Enumeration Date: | 09/30/2010 |
| NPI Last Update Date: | 06/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 790 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |