Organization
LAURA YATVIN NUTRITION SERVICES
Active
Parent organization
LA FORTALEZA
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA FORTALEZA
Authorized official
MS. LAURA YATVIN RD (DIETITIAN)
(215) 455-5370
Entity
Organization
Contact information
Practice address
4231 N. 5TH STREET, PHILADELPHIA, PA 19140
(215) 455-5370
(215) 455-5374
Mailing address
4231 N. 5TH STREET, PHILADELPHIA, PA 19140
(215) 455-5370
(215) 455-5374
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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