Individual
REBECCA DATTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDLD
Contact information
Practice address
600 SUNCREST TOWN CENTRE DR STE 200, MORGANTOWN, WV 26505-1873
(304) 598-4855
Mailing address
600 SUNCREST TOWN CENTRE DR STE 200, MORGANTOWN, WV 26505-1873
(304) 598-4855
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
883
WV
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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