Individual
PHYLLIS LODUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
412 WELSFORD RD, FAIRLESS HILLS, PA 19030
(267) 981-5770
Mailing address
412 WELSFORD RD, FAIRLESS HILLS, PA 19030-4016
(267) 981-5770
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005796
PA
Other
Enumeration date
09/08/2017
Last updated
07/21/2022
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