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Individual

MS. RISA MIRIAM HERBSTMAN WACHTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, CDCES

Contact information

Practice address
100 E LANCASTER AVE, SUITE 560 MOB EAST, WYNNEWOOD, PA 19096-3449
(610) 649-1922
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86033329
NY
133V00000X
Registered Dietitian
Primary
DN008529
PA

Other

Enumeration date
05/26/2016
Last updated
10/15/2024
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