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Organization
DOLCE VITA NUTRITION
Active
Organization
DOLCE VITA NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN ROSCIOLI RD, CSP, LDN (DIETITIAN/OWNER)
(610) 529-7966
Entity
Organization
Contact information
Practice address
14 THOMAS AVE, BRYN MAWR, PA 19010-2607
(610) 529-7966
Mailing address
208 BROOKWOOD DR, AMBLER, PA 19002-5025
(610) 529-7966
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003698
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030490710001
—
PA
Enumeration date
11/13/2017
Last updated
11/13/2017
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