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Individual

TRACI FAUERBACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(214) 349-5513
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(214) 349-5513

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004195
PA

Other

Enumeration date
04/21/2020
Last updated
04/21/2020
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