Individual
MICHELLE DIANA MENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5312 RIDGE AVE APT 411, PHILADELPHIA, PA 19128-3935
(516) 225-9788
Mailing address
5312 RIDGE AVE APT 411, PHILADELPHIA, PA 19128-3935
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN008574
PA
Other
Enumeration date
01/03/2026
Last updated
01/03/2026
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