Individual
AVA FASANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
3080 HAMILTON BLVD STE 200, ALLENTOWN, PA 18103-3692
(484) 661-4641
Mailing address
4937 REMINGTON DR, COOPERSBURG, PA 18036-1375
(484) 860-7840
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
10187
FL
133V00000X
Registered Dietitian
Primary
DN008234
PA
Other
Enumeration date
03/04/2021
Last updated
03/14/2024
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