Organization
PRIMELIFE NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN RICHARDSON (OWNER)
(610) 310-8321
Entity
Organization
Contact information
Practice address
332 MAIN ST, ROYERSFORD, PA 19468-2313
(484) 424-7177
Mailing address
109 SYCAMORE CT, COLLEGEVILLE, PA 19426-2909
(610) 310-8321
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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