Individual
JESSICA HAASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1243 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6268
(610) 402-6790
Mailing address
2100 MACK BLVD FL 2, ALLENTOWN, PA 18103-5622
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN007958
PA
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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