Individual
NOAH DETWEILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NHP
Contact information
Practice address
3243 BRICK CHURCH RD, ATLANTIC, PA 16111-3520
(814) 282-7404
Mailing address
3243 BRICK CHURCH RD, ATLANTIC, PA 16111-3520
(814) 282-7404
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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