Individual
MRS. JENNIFER LYNN SOTIRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
720 BLACKBURN RD, SEWICKLEY, PA 15143-1459
(412) 749-7122
(412) 299-1295
Mailing address
616 FOREST AVE, PITTSBURGH, PA 15202-3113
(412) 761-2979
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN001785
PA
Other
Enumeration date
05/16/2007
Last updated
01/14/2010
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