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Organization
ESSENTIAL NUTRITION FOR WELLNESS, LLC.
Active
Organization
ESSENTIAL NUTRITION FOR WELLNESS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE YOST RD, LDN (MEMBER)
(610) 703-4502
Entity
Organization
Contact information
Practice address
1941 HAMILTON ST, STE 102, ALLENTOWN, PA 18104-6470
(610) 703-4502
Mailing address
2672 TOWNSHIP LINE RD, OREFIELD, PA 18069-2845
(610) 703-4502
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
DN001564
PA
133NN1002X
Nutrition Education Nutritionist
DN001564
PA
133V00000X
Registered Dietitian
Primary
DN001564
PA
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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