Individual
MS. AMY MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
615 WOODCREST AVE, ARDMORE, PA 19003-1919
(610) 329-5326
Mailing address
615 WOODCREST AVE, ARDMORE, PA 19003-1919
(610) 329-5326
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
PA
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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