Individual
MR. PETERJASON LIGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN, LDN
Contact information
Practice address
122 5TH ST, MAYFIELD, PA 18433
(570) 267-6617
Mailing address
122 5TH ST, MAYFIELD, PA 18433-1510
(570) 267-6617
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005776
PA
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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