Individual
MISS ALEAHA LYNN WACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
95 ROCKY VIEW DR, HAWLEY, PA 18428-4535
(570) 390-9939
Mailing address
95 ROCKY VIEW DR, HAWLEY, PA 18428-4535
(570) 390-9939
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN007240
PA
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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