Organization
CLUB LA MAISON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MESHYOCK (GENERAL MANAGER)
(610) 964-8800
Entity
Organization
Contact information
Practice address
215 SUGARTOWN RD, WAYNE, PA 19087-3137
(610) 964-8800
(610) 964-9233
Mailing address
215 SUGARTOWN RD, WAYNE, PA 19087-3137
(610) 964-8800
(610) 964-9233
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
PA
Other
Enumeration date
04/12/2016
Last updated
05/31/2016
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