Individual
REBECCA SEIDEL HERRMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
2140 STERNERS RD, GREEN LANE, PA 18054-2550
(315) 404-1264
Mailing address
2140 STERNERS RD, GREEN LANE, PA 18054-2550
(315) 404-1264
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN002588
PA
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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