Individual
JILL LAUREN GUISEPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.N., C.N.S.
Contact information
Practice address
3635 N FRONT ST, PHILADELPHIA, PA 19140-4642
(704) 293-9856
Mailing address
3635 N FRONT ST, PHILADELPHIA, PA 19140-4642
(704) 293-9856
(215) 427-6782
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
005385-1
NY
133V00000X
Registered Dietitian
Primary
DN004700
PA
Other
Enumeration date
04/25/2007
Last updated
04/23/2014
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