Organization
PENN VALLEY NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MCANANY MPH, RDN, LDN (OWNER / REGISTERED DIETITIAN)
(484) 639-7329
Entity
Organization
Contact information
Practice address
815 CRICKET AVE APT A, ARDMORE, PA 19003-2052
(484) 297-9828
Mailing address
815 CRICKET AVE APT A, ARDMORE, PA 19003-2052
(484) 639-7329
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/20/2024
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