Organization
HEALTHY LIFE NUTRITIONAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN ANNE RUFFNER RD LDN (DIETITIAN)
(412) 418-7835
Entity
Organization
Contact information
Practice address
11070 GREER ST, IRWIN, PA 15642-4904
(412) 418-7835
(724) 863-1388
Mailing address
11070 GREER ST, IRWIN, PA 15642-4904
(412) 418-7835
(724) 863-1388
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN001511
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3707870
LLC
PA
Enumeration date
05/08/2007
Last updated
03/31/2008
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