Individual
MICHELE ONDECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 CRICKET AVE, ARDMORE, PA 19003-2113
(267) 443-8499
Mailing address
125 CRICKET AVE, ARDMORE, PA 19003-2113
(267) 443-8499
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN002795
PA
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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