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Organization
HEATHER RUDALAVAGE RD LDN
Active
Organization
HEATHER RUDALAVAGE RD LDN
Active
Other names
Intuitive Nutrition
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER E RUDALAVAGE RD (OWNER/PRESIDENT)
(215) 643-3572
Entity
Organization
Contact information
Practice address
1023 HAWTHORNE LN, FORT WASHINGTON, PA 19034-1736
(215) 643-3572
Mailing address
1023 HAWTHORNE LN, FORT WASHINGTON, PA 19034-1736
(215) 643-3572
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004094
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12132775
CAQH
PA
Enumeration date
10/24/2011
Last updated
10/24/2011
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