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Organization
HEALTHY LIFE NUTRITIONAL SERVICES LLC
Active
Organization
HEALTHY LIFE NUTRITIONAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN ANNE RUFFNER RD LDN (DIETITIAN)
(412) 418-7835
Entity
Organization
Contact information
Practice address
11070 GREER ST, IRWIN, PA 15642-4904
(412) 418-7835
(724) 863-1388
Mailing address
11070 GREER ST, IRWIN, PA 15642-4904
(412) 418-7835
(724) 863-1388
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN001511
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3707870
LLC
PA
Enumeration date
05/08/2007
Last updated
03/31/2008
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