Individual
RUSLANA MIDWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1950 BUTLER PIKE, #114, CONSHOHOCKEN, PA 19428-1202
(610) 279-5125
Mailing address
1950 BUTLER PIKE, #114, CONSHOHOCKEN, PA 19428-1202
(610) 279-5125
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN002709
PA
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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