Organization
NUTRITION THAT HEALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA KELLY RDN, LDN (OWNER AND REGISTERED DIETITIAN NUTR)
(610) 331-2671
Entity
Organization
Contact information
Practice address
618 1ST ST, LANCASTER, PA 17603-3622
(610) 331-2671
Mailing address
618 1ST ST, LANCASTER, PA 17603-3622
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187122840
—
PA
Enumeration date
09/23/2022
Last updated
12/29/2022
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