Individual
MRS. SHELLEY SURBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LDN
Contact information
Practice address
300 AMERICAN ST, CATASAUQUA, PA 18032-1800
(610) 264-5471
Mailing address
300 AMERICAN ST, CATASAUQUA, PA 18032-1800
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003452
PA
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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