Individual
AMANDA D CUSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LDN CDE
Contact information
Practice address
32 JEFFERSON AVE STE 210, SHARON, PA 16146-3354
(724) 983-7324
(724) 724-5519
Mailing address
740 E STATE ST, SHARON, PA 16146-3328
(724) 983-7324
(724) 932-5519
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004266
PA
Other
Enumeration date
11/23/2009
Last updated
08/11/2020
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