Individual
MS. MELISSA WADOLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
2723 ALMOND ST, PHILADELPHIA, PA 19134-4707
(631) 897-3294
Mailing address
2723 ALMOND ST, PHILADELPHIA, PA 19134-4707
(631) 897-3294
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86019100
PA
Other
Enumeration date
03/15/2017
Last updated
09/22/2022
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