Philadelphia Nutrition and Wellness, LLC
NPI #1225600430 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1225600430
- Entity Type
- Organization
- Organization Name
- Philadelphia Nutrition and Wellness, LLC
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Jul 15, 2021
- Last Updated
- Jan 5, 2022
Practice Location
- Address
- 451 HERMITAGE ST
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19128-3301
- Phone
- (267) 314-7675
Authorized Official
- Name
- ALLISON LEIGH SHORE, RD
- Title
- OWNER/DIETITIAN
- Phone
- (267) 314-7675
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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