Individual
CARLA DEJESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN, CDE
Contact information
Practice address
1500 FIFTH AVE, 485 CRAWFORD - LIONS DIABETES CENTER, MCKEESPORT, PA 15132-2422
(412) 664-3055
(412) 664-2006
Mailing address
8610 DELAWARE AVE, NORTH HUNTINGDON, PA 15642-3279
(724) 787-8201
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN001308
PA
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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