Pro Lifestyle Nutrition
NPI #1255675468 in Elkins Park, Pennsylvania
Provider Information
- NPI Number
- 1255675468
- Entity Type
- Organization
- Organization Name
- Pro Lifestyle Nutrition
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Nov 12, 2012
- Last Updated
- Aug 13, 2015
Practice Location
- Address
- 405 LODGES LN
- City
- Elkins Park
- State
- Pennsylvania
- ZIP Code
- 19027-2506
- Phone
- (215) 264-2574
Authorized Official
- Name
- MS. RACHEL A HUDES, M.S., R.D., L.D.N.
- Title
- OWNER/DIRECTOR
- Phone
- (215) 264-2574
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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