Individual
NICOLE DIANNE BRIGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
1512 SOUTH ST, PHILADELPHIA, PA 19146-1636
(267) 239-5637
(267) 455-0825
Mailing address
1512 SOUTH ST, PHILADELPHIA, PA 19146-1636
(267) 239-5637
(267) 455-0825
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005816
PA
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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