Individual
JOANNE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, RDN, LDN
Contact information
Practice address
217 TWINING RD, LANSDALE, PA 19446-6326
(570) 445-0755
Mailing address
217 TWINING RD, LANSDALE, PA 19446-6326
(570) 445-0755
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004669
PA
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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