Organization
ESSENTIAL NUTRITION FOR WELLNESS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE YOST RD, LDN (MEMBER)
(610) 703-4502
Entity
Organization
Contact information
Practice address
1941 HAMILTON ST, STE 102, ALLENTOWN, PA 18104-6470
(610) 703-4502
Mailing address
2672 TOWNSHIP LINE RD, OREFIELD, PA 18069-2845
(610) 703-4502
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
DN001564
PA
133NN1002X
Nutrition Education Nutritionist
DN001564
PA
133V00000X
Registered Dietitian
Primary
DN001564
PA
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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