Organization
ATHENS NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH RODKEYMATUSKY RDN, LDN (OWNER)
(215) 796-5735
Entity
Organization
Contact information
Practice address
27 W ATHENS AVE, ARDMORE, PA 19003-1321
(215) 796-5735
Mailing address
27 W ATHENS AVE, ARDMORE, PA 19003-1321
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN001445
PA
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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