Individual
MRS. KRISTEN WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
403 W RIDGE PIKE, ROYERSFORD, PA 19468-3451
(610) 454-7332
Mailing address
1980 UPPER RIDGE RD, GREEN LANE, PA 18054-9418
(267) 337-3710
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006412
PA
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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