Individual
MRS. SUSAN GENEROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
135 LAFAYETTE AVE, PALMERTON, PA 18071-1518
(610) 826-1150
(610) 826-1211
Mailing address
10 HERITAGE CIR, HAZLE TOWNSHIP, PA 18202-2905
(570) 401-5345
(610) 826-1211
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
DN000681
PA
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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