Individual
COLEEN GREECHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
PO BOX 854, MC A410, HERSHEY, PA 17033-0854
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DN001207
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN001207
MEDICAL LICENSE
PA
Enumeration date
06/09/2009
Last updated
06/09/2009
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