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Individual

JENALEE GFELLER RICHNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4005 POND VIEW DR, SOUTH ABINGTON TOWNSHIP, PA 18411-8739
(330) 206-0952
Mailing address
4005 POND VIEW DR, SOUTH ABINGTON TOWNSHIP, PA 18411-8739
(330) 206-0952

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004959
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DN004959
PA LICENSE NUMBER
PA
Enumeration date
07/18/2013
Last updated
02/05/2015
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