MRS. Diana M Fedorisin, RD, LDN

NPI #1760720726 in Lords Valley, Pennsylvania

Provider Information

NPI Number: 1760720726
Entity Type: Individual
Name: MRS. Diana M Fedorisin, RD, LDN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD, LDN
Enumeration Date: Jan 27, 2013
Last Updated: Jan 27, 2013

Practice Location

Address: 1677 HEMLOCK FARMS
City: Lords Valley
State: Pennsylvania
ZIP Code: 18428-9069
Phone: (570) 257-0136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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