Individual
BRICE MARTIN WONDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, LDN
Contact information
Practice address
3025 ZINN RD, THORNDALE, PA 19372-1131
(610) 384-2211
Mailing address
3025 ZINN RD, THORNDALE, PA 19372-1131
(610) 384-2211
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1010148
PA
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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