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Organization
LAURA YOUR DIETITIAN LLC
Active
Organization
LAURA YOUR DIETITIAN LLC
Active
Other names
Laura Your Dietitian LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LAURA CRESTA RD, LDN (REGISTERED DIETITIAN)
(215) 779-9511
Entity
Organization
Contact information
Practice address
1030 N 2ND ST UNIT 303, PHILADELPHIA, PA 19123-1595
(215) 779-9511
Mailing address
4 CRICKET CIRCLE, HORSHAM, PA 19044
(215) 779-9511
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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