Individual
MICHELLE M DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
430 DOLORES DR, COLLEGEVILLE, PA 19426-1111
(610) 329-6978
Mailing address
430 DOLORES DR, COLLEGEVILLE, PA 19426-1111
(610) 329-6978
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN001976
PA
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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