Organization
PORTER NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE M. PORTER MPH, RD (REGISTERED DIETITIAN/LLC OWNER)
(302) 750-7726
Entity
Organization
Contact information
Practice address
1208 WOODSVIEW DR, GARNET VALLEY, PA 19060-2119
(302) 750-7726
(888) 695-6040
Mailing address
1208 WOODSVIEW DR, GARNET VALLEY, PA 19060-2119
(302) 750-7726
(888) 695-6040
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083918197
PERSONAL NPI
—
Enumeration date
01/11/2023
Last updated
01/11/2023
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