Individual
MAYA YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
190 WELLES ST, FORTY FORT, PA 18704-4968
(570) 718-4140
(570) 718-4141
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN007542
PA
133VN1004X
Pediatric Nutrition Registered Dietitian
DN007542
PA
Other
Enumeration date
04/01/2022
Last updated
05/17/2022
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