Individual
NYSSA ENTREKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-4889
Mailing address
301 LIPPINCOTT DR, STE 120, MARLTON, NJ 08053-4197
(856) 355-0335
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1069656
—
133V00000X
Registered Dietitian
DN005854
PA
Other
Enumeration date
12/07/2016
Last updated
10/11/2018
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