Individual
KIMBERLY BLUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4505 BENSON ST, PHILADELPHIA, PA 19136-2417
(215) 313-9576
Mailing address
4505 BENSON ST, PHILADELPHIA, PA 19136-2417
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006420
PA
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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