Individual
MARYGRACE MCHALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
810 CROSS ST, PHILADELPHIA, PA 19147-6405
(215) 350-0005
Mailing address
810 CROSS ST, PHILADELPHIA, PA 19147-6405
(215) 350-0005
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
662223
PA
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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