Individual
RACHEL L PETTICORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, LDN
Contact information
Practice address
1440 RUSSELL RD, PAOLI, PA 19301-1236
(610) 644-6464
(610) 644-4066
Mailing address
1440 RUSSELL RD, PAOLI, PA 19301-1236
(610) 644-6464
(610) 644-4066
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN001992
PA
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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