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Individual

DANA IKEDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN, LDN

Contact information

Practice address
432 N 6TH ST, PHILADELPHIA, PA 19123-4004
(215) 627-8000
Mailing address
267 GLENN AVE, LAWRENCE TOWNSHIP, NJ 08648-3755

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN007670
PA

Other

Enumeration date
12/29/2021
Last updated
12/29/2021
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