Individual
PRISCILLA AYENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2033 FEDERAL ST FL 2, PHILADELPHIA, PA 19146-2829
(609) 332-5936
Mailing address
2033 FEDERAL ST FL 2, PHILADELPHIA, PA 19146-2829
(609) 332-5936
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
DN004464
PA
133V00000X
Registered Dietitian
Primary
DN004464
PA
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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