Individual
GABRIELLE LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RDN LDN
Contact information
Practice address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-8363
Mailing address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006612
PA
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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