Organization
KEYSTONE NUTRITION
Active
Organization
KEYSTONE NUTRITION
Active
Parent organization
OLD OAKS PROFESSIONAL SERVICES CORP.
Organization subpart
Yes
Provider details
NPI number
Legal business name
OLD OAKS PROFESSIONAL SERVICES CORP.
Authorized official
MS. MELISSA WILSON TWEDT MS, CNS, LDN (CLINICAL NUTRITIONIST)
(610) 525-1422
Entity
Organization
Contact information
Practice address
21 OLD OAKS RD, BRYN MAWR, PA 19010-1024
(610) 324-9398
Mailing address
512 W LANCASTER AVE, WAYNE, PA 19087-3122
(610) 525-1422
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
04/29/2022
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