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Individual

MRS. JENNY M KOSCHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LDN

Contact information

Practice address
RED LION & KNIGHTS ROAD, PHILADELPHIA, PA 19114
(215) 612-5165
Mailing address
RED LION & KNIGHTS ROAD, PHILADELPHIA, PA 19114
(215) 612-5165

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003582
PA

Other

Enumeration date
07/23/2008
Last updated
07/23/2008
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