Individual
BETHANY PAVESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
5800 RIDGE AVE, PHILADELPHIA, PA 19128-1737
(215) 487-4341
(215) 487-4331
Mailing address
5800 RIDGE AVE, PHILADELPHIA, PA 19128-1737
(215) 487-4341
(215) 487-4331
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005571
PA
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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