Individual
MICHELE A WAIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
961 MARCON BLVD STE 115, ALLENTOWN, PA 18109-9371
(610) 443-1885
Mailing address
961 MARCON BLVD STE 115, ALLENTOWN, PA 18109-9371
(610) 443-1885
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN007904
PA
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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