Organization
KORAN WATSON HAVEN OF HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORAN WATSON RDN LDN (OWNER/ CEO)
(267) 209-3245
Entity
Organization
Contact information
Practice address
21 S 11TH ST, PHILADELPHIA, PA 19107-4223
(267) 209-3245
(267) 907-8591
Mailing address
21 S 11TH ST, PHILADELPHIA, PA 19107-4223
(267) 209-3245
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
08/12/2022
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