Identity Nutrition, LLC
NPI #1437904141 in Coatesville, Pennsylvania
Provider Information
- NPI Number
- 1437904141
- Entity Type
- Organization
- Organization Name
- Identity Nutrition, LLC
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Apr 17, 2024
- Last Updated
- Apr 26, 2024
Practice Location
- Address
- 1284 STERNER MILL RD
- City
- Coatesville
- State
- Pennsylvania
- ZIP Code
- 19320-7702
- Phone
- (610) 466-5649
Authorized Official
- Name
- MRS. CHRISTINA JANE BROCHET, MA, RD, LDN, CDCES
- Title
- OWNER
- Phone
- (610) 466-5649
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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