Organization
SUPERSALE CORPORATION
Active
Other names
Giant Eagle #665
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE SIPE R.D. LDN (REGISTED DIETITIAN)
(724) 772-1030
Entity
Organization
Contact information
Practice address
20111 ROUTE 19, CRANBERRY TOWNSHIP, PA 16066-6207
(724) 772-1030
(724) 772-2841
Mailing address
20111 ROUTE 19, CRANBERRY TOWNSHIP, PA 16066-6207
(724) 772-1030
(724) 772-2841
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
DN004225
PA
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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