Organization
ANDERSONS NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE H GOODRICH (RD)
(602) 770-7611
Entity
Organization
Contact information
Practice address
142 WALLACE AVE # 105, DOWNINGTOWN, PA 19335-2643
(484) 872-2909
(833) 755-0838
Mailing address
142 WALLACE AVE # 105, DOWNINGTOWN, PA 19335-2643
(602) 770-7611
(833) 755-0838
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/12/2018
Last updated
07/25/2024
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