Organization
CORPORATE WELLNESS NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN DAVIDSON (EXECUTIVE DIRECTOR)
(800) 484-7720
Entity
Organization
Contact information
Practice address
150 MONUMENT RD STE 207, BALA CYNWYD, PA 19004-1725
(800) 484-7720
(215) 628-3262
Mailing address
150 MONUMENT RD STE 207, BALA CYNWYD, PA 19004-1725
(800) 484-7720
(215) 628-3262
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003782
PA
Other
Enumeration date
10/20/2010
Last updated
10/01/2025
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