Individual
DOMINIQUE NOEL PACITTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN, IBCLC
Contact information
Practice address
1618 KINGS MILL RD, GWYNEDD VALLEY, PA 19437
(215) 360-4801
Mailing address
PO BOX 353, GWYNEDD VALLEY, PA 19437-0353
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006772
PA
174N00000X
Lactation Consultant (Non-RN)
L-302209
PA
Other
Enumeration date
03/12/2019
Last updated
01/22/2021
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