Individual
NOELLE DOMINIQUE ALTAVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
141 N VINE ST, HAZLETON, PA 18201-5852
(570) 501-6322
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
DN003742
PA
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
06/09/2011
Last updated
08/21/2023
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