Organization
PHILADELPHIA FUNCTIONAL NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL HERSHBERGER CNS LDN (OWNER)
(484) 693-0660
Entity
Organization
Contact information
Practice address
237 W LANCASTER AVE STE 215, DEVON, PA 19333-1585
(484) 693-0660
(484) 643-4500
Mailing address
237 W LANCASTER AVE STE 215, DEVON, PA 19333-1585
(484) 693-0660
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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