Club La Maison, Inc.
NPI #1487018818 in Wayne, Pennsylvania
Provider Information
- NPI Number
- 1487018818
- Entity Type
- Organization
- Organization Name
- Club La Maison, Inc.
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Apr 12, 2016
- Last Updated
- May 31, 2016
Practice Location
- Address
- 215 SUGARTOWN RD
- City
- Wayne
- State
- Pennsylvania
- ZIP Code
- 19087-3137
- Phone
- (610) 964-8800
Authorized Official
- Name
- PAUL MESHYOCK
- Title
- GENERAL MANAGER
- Phone
- (610) 964-8800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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