Individual
RANDI JO PASKEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., R.D., L.D.N.
Contact information
Practice address
7317 COBBLE STONE DR, HARRISBURG, PA 17112-9038
(717) 712-8225
Mailing address
7317 COBBLE STONE DR, HARRISBURG, PA 17112-9038
(717) 712-8225
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003810
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033319210001
—
PA
Enumeration date
10/16/2007
Last updated
09/12/2017
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