Individual
MS. FLAVIA MARIE HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LDN
Contact information
Practice address
9126 BLUE GRASS RD, PHILADELPHIA, PA 19114-3202
(215) 552-8332
Mailing address
9126 BLUE GRASS RD, PHILADELPHIA, PA 19114-3202
(215) 552-8332
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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