Individual
TIFFANY A DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDN
Contact information
Practice address
3400 CIVIC CENTER BLVD, PCAM 1 SOUTH, SUITE 1-300S, PHILADELPHIA, PA 19104-5127
(215) 662-2638
Mailing address
3400 CIVIC CENTER BLVD, PCAM 1 SOUTH, SUITE 1-300S, PHILADELPHIA, PA 19104-5127
(215) 662-2638
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
DN003577
PA
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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