Individual
MS. SUSAN K. UPHOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
104 PANEPINTO DR, SCHWENKSVILLE, PA 19473-1827
(610) 287-4431
Mailing address
104 PANEPINTO DR, SCHWENKSVILLE, PA 19473-1827
(610) 287-4431
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
858776
PA
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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