Individual
MISS DEANNA MARIE MCCLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
636 MARTIN ST, PHILADELPHIA, PA 19128-1621
(610) 639-1222
Mailing address
636 MARTIN ST, PHILADELPHIA, PA 19128-1621
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN007907
PA
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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