Individual
MISS RAMONA J FASULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHHC
Contact information
Practice address
910 PROVIDENCE RD, SECANE, PA 19018-3640
(610) 513-3541
Mailing address
910 PROVIDENCE RD, SECANE, PA 19018-3640
(610) 513-3541
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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