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Organization
ANDERSONS NUTRITION
Active
Organization
ANDERSONS NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE H. ANDERSON R.D. (MEMBER/OWNER)
(602) 770-7611
Entity
Organization
Contact information
Practice address
142 WALLACE AVE # 105, DOWNINGTOWN, PA 19335-2643
(610) 983-8061
Mailing address
142 WALLACE AVE # 105, DOWNINGTOWN, PA 19335-2643
(610) 983-8061
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
915444
AZ
Other
Enumeration date
03/15/2010
Last updated
02/27/2025
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