Individual
TARA SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3075 RIDGE PIKE, EAGLEVILLE, PA 19403
(610) 265-4700
Mailing address
301 JOSEPH DR, WEST CHESTER, PA 19380-6701
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003644
PA
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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