Individual
MARIE VADELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
24 VETERANS SQ, MEDIA, PA 19063
(814) 880-4039
Mailing address
24 VETERANS SQ, MEDIA, PA 19063-3155
(814) 880-4039
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005310
PA
Other
Enumeration date
09/29/2015
Last updated
09/17/2018
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