Jenna Elizabeth Fadale
NPI #1467090712 in Honesdale, Pennsylvania
Provider Information
- NPI Number
- 1467090712
- Entity Type
- Individual
- Name
- Jenna Elizabeth Fadale
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Dec 17, 2019
- Last Updated
- Dec 17, 2019
Practice Location
- Address
- 952 BETHANY TPKE
- City
- Honesdale
- State
- Pennsylvania
- ZIP Code
- 18431-4194
- Phone
- (716) 949-0006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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