Rd of Nepa LLC
NPI #1821579913 in Moosic, Pennsylvania
Provider Information
- NPI Number
- 1821579913
- Entity Type
- Organization
- Organization Name
- Rd of Nepa LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Aug 27, 2018
- Last Updated
- Sep 8, 2022
Practice Location
- Address
- 532 MAIN ST STE 3
- City
- Moosic
- State
- Pennsylvania
- ZIP Code
- 18507-1001
- Phone
- (570) 457-2464
Authorized Official
- Name
- LEANNA TABATABAIE, MS, RDN
- Title
- OWNER
- Phone
- (570) 457-2464
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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