Individual ProviderEmma Elizabeth GollDietitian, RegisteredDietary & Nutritional Service ProvidersPractice Address111 Michigan Ave NW, Washington, DC 20010-2916(215) 589-9568PECOS EnrollmentBased on the most recent information from CMS, provider Emma Elizabeth Goll does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1750959193Provider TypeIndividualFull NameGoll, Emma ElizabethGenderFemaleSole ProprietorNoEnumeration Date6/13/2021Last Updated6/13/2021Contact InformationPractice LocationPractice Address111 Michigan Ave NW, Washington, DC 20010-2916Phone(215) 589-9568FaxUnlisted FaxMailing LocationMailing Address111 Michigan Ave NW, Washington, DC 20010-2916Phone(215) 589-9568FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode133V00000XPrimaryDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicenseUnlisted Issuer