Individual
RENAE MORRISSEY KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
410 MEADOWBROOK AVE, WAYNE, PA 19087-4832
(847) 370-7722
Mailing address
410 MEADOWBROOK AVE, WAYNE, PA 19087-4832
(847) 370-7722
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006174
PA
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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